Active NPI
Carmen Rome
- Health Educator
- Detroit, MI
National Provider Identifier
1821551276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 3031 W Grand Blvd Ste 365
Detroit, MI 48202-3014 - Phone
- (313) 664-0100
- Fax
- (313) 664-0111
- NPI assigned
- Apr 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
3031 W Grand Blvd Ste 365
Detroit, MI 48202-3014
Mailing address
3031 W Grand Blvd Ste 531
Detroit, MI 48202-3008
Phone (313) 664-0100
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Health Resource | Health Educator | Current | Accepting new patients |
Locations
3031 W Grand Blvd
Ste 531
Detroit, MI 48202
Phone (313) 664-0100
3031 W Grand Blvd
Ste 365
Detroit, MI 48202
Phone (313) 664-0100
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.
-
- Health Educator
- Detroit, MI
- NPI 1518235670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1821551276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 W GRAND BLVD STE 531",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023008",
"telephone_number": "313-664-0100",
"fax_number": "313-664-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 W GRAND BLVD STE 365",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023014",
"telephone_number": "313-664-0100",
"fax_number": "313-664-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROME",
"first_name": "CARMEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"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 Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.