Active NPI
Jamie Nkechiyere Anumba, FNP-BC
- Family Nurse Practitioner
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704322481
- Practice address
- 1979 Somerset Blvd Apt 213
Troy, MI 48084-3945 - Phone
- (248) 469-6537
- NPI assigned
- Jul 27, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704322481 | MI | Primary |
Addresses
Primary practice location
1979 Somerset Blvd Apt 213
Troy, MI 48084-3945
Mailing address
1979 Somerset Blvd Apt 213
Troy, MI 48084-3945
Phone (248) 469-6537
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704322481 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longevity Accountable Care, PA | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Longevity Accountable Care, PA | Current | Accepting new patients |
Locations
8045 E Jefferson Ave
Detroit, MI 48214
Phone (313) 821-3525
2320 E Beltline Ave SE
Grand Rapids, MI 49546
Phone (616) 949-3000
517 W Page St
Rose City, MI 48654
Phone (989) 685-2442
29800 Hoover Rd
Warren, MI 48093
Phone (586) 574-3444
11700 E 10 Mile Rd
Warren, MI 48089
Phone (586) 353-3800
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Dearborn Heights, MI
- NPI 1396584447
-
- Geriatric Medicine (Family Medicine) Physician
- Dearborn Heights, MI
- NPI 1154992196
-
- Geriatric Medicine (Family Medicine) Physician
- Salisbury, NC
- NPI 1396584454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1851027320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1979 SOMERSET BLVD APT 213",
"city": "TROY",
"state": "MI",
"postal_code": "480843945",
"telephone_number": "248-469-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1979 SOMERSET BLVD APT 213",
"city": "TROY",
"state": "MI",
"postal_code": "480843945",
"telephone_number": "248-469-6537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANUMBA",
"first_name": "JAMIE",
"middle_name": "NKECHIYERE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704322481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.