Individual provider Active NPI

Aimee Gayle Adams, ANP-BC

  • Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1740620970
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704266165 Issued in MI
Practice address
39201 7 Mile Rd Ste 140
Livonia, MI 48152-1079
Phone
(248) 681-9541
Fax
(248) 681-9581
NPI assigned
Jul 2, 2013
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704266165 MI Primary
Adult Health Nurse Practitioner 363LA2200X 4704266165 MI

Addresses

Primary practice location

39201 7 Mile Rd Ste 140
Livonia, MI 48152-1079

Mailing address

18309 Blue Heron Pointe Dr
Northville, MI 48168-9261
Phone (248) 224-4000

Other practice location 1

2665 Elizabeth Lake Rd
Waterford, MI 48328-3277
Phone (248) 681-9541

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
I20140213000172 MI Practitioner - Nurse Practitioner 0941439020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704266165MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cory J Rubin MD PC CurrentSince May 8, 2024 Accepting new patients

Locations

39201 7 Mile Rd
Ste 140
Livonia, MI 48152
Phone (248) 681-9541

2665 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 312-9551

Organizations & group practices 1

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1740620970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18309 BLUE HERON POINTE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481689261",
            "telephone_number": "248-224-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39201 7 MILE RD STE 140",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521079",
            "telephone_number": "248-681-9541",
            "fax_number": "248-681-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2665 Elizabeth Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483283277",
            "country_code": "US",
            "telephone_number": "248-681-9541",
            "fax_number": "248-681-9581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "AIMEE",
        "middle_name": "GAYLE",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704266165",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704266165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.