Active NPI
Portia Kemp, BA
- Other Technician
- Detroit, MI
National Provider Identifier
1760017727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 6803087086
- Practice address
- 882 Oakman Blvd Ste B
Detroit, MI 48238-4019 - Phone
- (313) 967-5950
- NPI assigned
- Mar 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 6803087086 | MI | Primary |
Addresses
Primary practice location
882 Oakman Blvd Ste B
Detroit, MI 48238-4019
Mailing address
24627 Roanoke Ave
Oak Park, MI 48237-1838
Phone (248) 798-3636
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6803087086 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1760017727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24627 ROANOKE AVE",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371838",
"telephone_number": "248-798-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "882 OAKMAN BLVD STE B",
"city": "DETROIT",
"state": "MI",
"postal_code": "482384019",
"telephone_number": "313-967-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "PORTIA",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "6803087086",
"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 Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.