Individual provider Active NPI

Aundi Marie Abdul-Latif, NP

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1730954538
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704327608 Issued in MI
Practice address
24623 Greenfield Rd
Southfield, MI 48075-3058
Phone
(248) 557-9010
NPI assigned
Nov 21, 2023
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704327608 MI Primary

Addresses

Primary practice location

24623 Greenfield Rd
Southfield, MI 48075-3058

Mailing address

24623 Greenfield Rd
Southfield, MI 48075-3058
Phone (248) 557-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223004080 MI Practitioner - Nurse Practitioner 4587009048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Kidney Consultants PCGroup PAC ID 1052207115, 45 clinicians

Practice addresses (Care Compare)

26255 Greenfield Rd
Southfield, MI 48076-4704
Phone (248) 541-7801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704327608MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Kidney Consultants, P.C. Nephrology CurrentSince Feb 1, 2024 Accepting new patients
Starrwood Surgery Center LLC PastSince Apr 6, 2025 Accepting new patients
Southfield Surgery Center LLC PastSince Aug 1, 2019 Accepting new patients

Locations

26255 Greenfield Rd
Southfield, MI 48076
Phone (248) 541-7801

4600 Investment Dr
Ste 29
Troy, MI 48098
Phone (248) 267-5010

Interoperability endpoints

  • Direct secure messaging: aabdullatif3541964@direct.trinity-health.org
  • Direct secure messaging: aabdullatif60908@direct.acumenmd.com
  • Direct secure messaging: ajones447850@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1730954538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24623 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753058",
            "telephone_number": "248-557-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24623 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753058",
            "telephone_number": "248-557-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL-LATIF",
        "first_name": "AUNDI",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704327608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.