Maureen N Akaba

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704264496 Issued in MI

Practice address

30113 Sparkleberry Dr
Southfield, MI 48076-2076

Phone

(248) 227-5924

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Longevity Clinical LTC Associates of Michigan PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Dearborn Heights, MI
  • NPI 1154992196
  Medicare reassignment
• Longevity Long Term Medical Care of Pennsylvania PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Harrisburg, PA
  • NPI 1720796196
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1760103907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30113 SPARKLEBERRY DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762076",
            "telephone_number": "248-227-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30113 SPARKLEBERRY DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762076",
            "telephone_number": "248-227-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKABA",
        "first_name": "MAUREEN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704264496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Ajayi
• Saad Ajja, CRNA
• Reema Ajluni, DDS
• Sam K Ajluni, M.D.
• Ak Perio, PLLC
• Dorathy Akalefu
• Christina Akaraz
• Farah Akhdar, D.O
• Danita H. Akingba, M.D.
• Iyania Akinje

• Family Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.