Active NPI
Cathy Lorraine Buiten, NP
- Nurse Practitioner
- Wayne, MI
National Provider Identifier
1770652505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704188712
- Practice address
- 36823 Thinbark St
Wayne, MI 48184-1138 - Phone
- (734) 721-3754
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704188712 | MI | Primary |
Addresses
Primary practice location
36823 Thinbark St
Wayne, MI 48184-1138
Mailing address
36823 Thinbark St
Wayne, MI 48184-1138
Phone (734) 721-3754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4721740 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Sep 2, 2025 through Sep 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232150400000",
"number": "1770652505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36823 THINBARK ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841138",
"telephone_number": "734-721-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36823 THINBARK ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841138",
"telephone_number": "734-721-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUITEN",
"first_name": "CATHY",
"middle_name": "LORRAINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2009-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704188712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4721740",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.