Individual provider Active NPI

Reema Munir Mawari

  • Acute Care Nurse Practitioner
  • Westland, MI
National Provider Identifier
1801652235
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704335055 Issued in MI
Practice address
30805 Ann Arbor TRL
Westland, MI 48185-2482
Phone
(313) 891-2740
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704335055 MI Primary

Addresses

Primary practice location

30805 Ann Arbor TRL
Westland, MI 48185-2482

Mailing address

30805 Ann Arbor TRL
Westland, MI 48185-2482

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
I20240618000106 MI Practitioner - Nurse Practitioner 3173066263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704335055MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Procura Health Solutions PLLC Internal Medicine CurrentSince Apr 22, 2024 Accepting new patients

Locations

30805 Ann Arbor Trl
Westland, MI 48185
Phone (734) 744-7058

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1801652235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30805 ANN ARBOR TRL",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30805 ANN ARBOR TRL",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852482",
            "telephone_number": "313-891-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWARI",
        "first_name": "REEMA",
        "middle_name": "MUNIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704335055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.