Active NPI
Nisha Nair
- Registered Nurse
- Detroit, MI
National Provider Identifier
1881926319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704265399
- Practice address
- 80 E Hancock St
Apt #704
Detroit, MI 48201-1311 - Phone
- (954) 552-3093
- NPI assigned
- Feb 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704265399 | MI | Primary |
| Registered Nurse | 163W00000X | RN9225817 | FL |
Addresses
Primary practice location
80 E Hancock St
Apt #704
Detroit, MI 48201-1311
Mailing address
80 E Hancock St
Apt #704
Detroit, MI 48201-1311
Phone (954) 552-3093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003682258 | Other | MI | HMO |
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 |
|---|---|---|---|
| RN9225817 | FL | MD | Registered Nurse |
| 4704265399 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1881926319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 E HANCOCK ST",
"address_2": "APT #704",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011311",
"telephone_number": "954-552-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 E HANCOCK ST",
"address_2": "APT #704",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011311",
"telephone_number": "954-552-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "NISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704265399",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9225817",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "003682258",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}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 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.