Verified Provider Services PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VERIFIED PROVIDER SERVICES PLLC

Practice address

25880 Outer Dr
Lincoln Park, MI 48146-1553

Phone

(844) 509-4070

Fax

(800) 509-3646

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Jinit Shah, NP-C

Title

Admin

Phone

(734) 772-4722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1821820952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25880 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461553",
            "telephone_number": "844-509-4070",
            "fax_number": "800-509-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25880 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461553",
            "telephone_number": "844-509-4070",
            "fax_number": "800-509-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIFIED PROVIDER SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JINIT",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "734-772-4722",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkechi Kalu Ulinfun, FNP-C
• Theophilus Osayi Ulinfun, D.O.
• Steven James Vandermay
• Hannah Marie Vanderwalker, L.L.M.S.W.
• Lauren Christine Ventura, RPH
• Vibra of Southeastern Michigan LLC
• Raquel Villa Angulo
• Arly Michelle Villarreal
• Cristian Villarreal
• Lindsay Vonotten, PHARMD

• Family Medicine Physician in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.