Active NPI
Mahulie Hazle Christmas
- Other Technician
- Detroit, MI
National Provider Identifier
1851751804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- C623575298712
- Practice address
- 1709 Edison St
Detroit, MI 48206-2073 - Phone
- (313) 209-1315
- NPI assigned
- Mar 3, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Technician | 247000000X | C623575298712 | MI | |
| Other Technician | 247200000X | C623575298712 | MI | Primary |
Addresses
Primary practice location
1709 Edison St
Detroit, MI 48206-2073
Mailing address
1709 Edison
Detroit, MI 48206
Phone (313) 209-1315
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 |
|---|---|---|---|
| C623575298712 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1851751804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 EDISON",
"city": "DETROIT",
"state": "MI",
"postal_code": "48206",
"telephone_number": "313-209-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 EDISON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482062073",
"telephone_number": "313-209-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTMAS",
"first_name": "MAHULIE",
"middle_name": "HAZLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-03",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "247000000X",
"taxonomy_group": "",
"desc": "Technician, Health Information",
"state": "MI",
"license": "C623575298712",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "C623575298712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
- Christian Covenant Counseling Services LLC
- Murray Dale Christianson, M.D., F.R.C.S.(C),
- Christie Spudowski Therapy and Consulting, PLLC
- Elizabeth Anne Christina, NP
- Dessaraye Christine Christmas
- Christopher B Schooley DO, PC
- Christopher M. Fallu DPM, PC
- Elizabeth Ann Christopher
- Paul Gerard Chrustowski, LP
- CHS of Greater Detroit,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.