Anthony Nabors

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

N494275 Issued in MI

Practice address

25600 Briarbank Ave
Southfield, MI 48033-5844

Phone

(248) 910-4216

Fax

(248) 262-7036

NPI assigned

Apr 19, 2019

Last updated

Apr 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1750944294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25600 BRIARBANK AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335844",
            "telephone_number": "248-910-4216",
            "fax_number": "248-262-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25600 BRIARBANK AVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335844",
            "telephone_number": "248-910-4216",
            "fax_number": "248-262-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABORS",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "N494275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27-1651483",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myndhorizon Southfield/Detriot PLLC (Mynd Horizons PLC)
• Derek Myung
• N & K Home Healthcare, Inc.
• Gracie Naab
• Hayley Naber
• Khierieh Naboulsi, RPH
• Meredith Nackley, MOT, OTR/L
• Pooja R Nadkarni, PA-C
• Jerome Norbert Nadolski, LMSW LMFT CEAP
• Amber Marie Naeger, PA-C

• Non-emergency Medical Transport (VAN) in Southfield, MI
• Providers in Southfield, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.