Individual provider Active NPI

Jamie Nkechiyere Anumba, FNP-BC

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1851027320
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704322481 Issued in MI
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

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909001216 MI Practitioner - Nurse Practitioner 3577948678 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704322481MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 25, 2024 Accepting new patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 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.

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

Verify at the official NPI Registry.