Active NPI
Nina Romano
- Student in an Organized Health Care Education/Training Program
- Detroit, MI
National Provider Identifier
1851715239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PF000000087469
- Practice address
- 2251 Antietam Ave
Detroit, MI 48207-3879 - Phone
- (313) 782-4400
- NPI assigned
- Feb 6, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PF000000087469 | MI | Primary |
Addresses
Primary practice location
2251 Antietam Ave
Detroit, MI 48207-3879
Mailing address
15451 Cornell Dr
Clinton Township, MI 48038-1097
Phone (586) 515-3022
Other names 1
- Nina Slavicek
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PF000000087469 | MI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1851715239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15451 CORNELL DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381097",
"telephone_number": "586-515-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 ANTIETAM AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482073879",
"telephone_number": "313-782-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANO",
"first_name": "NINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "PF000000087469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NINA",
"last_name": "SLAVICEK",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.