Individual provider Active NPI

Aissatou Gnima Coly

  • Chore Provider
  • Detroit, MI
National Provider Identifier
1740149517
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
AS820418543 Issued in MI
Practice address
12660 Washburn St
Detroit, MI 48238-3060
Phone
(248) 825-6670
NPI assigned
Jan 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 372500000X AS820418543 MI Primary

Addresses

Primary practice location

12660 Washburn St
Detroit, MI 48238-3060

Mailing address

19333 Ashton Ave
Detroit, MI 48219-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS820418543MIMDChore Provider

NPI Registry JSON

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1740149517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19333 ASHTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 WASHBURN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383060",
            "telephone_number": "248-825-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLY",
        "first_name": "AISSATOU",
        "middle_name": "GNIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": "MI",
            "license": "AS820418543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.