Organization Active NPI

Healthy Innovations

  • Community Health Worker
  • Southfield, MI
National Provider Identifier
1912130592
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
HEALTHY INNOVATIONS
Practice address
17250 W 12 Mile Rd
Suite 117
Southfield, MI 48076-2127
Phone
(313) 952-3328
NPI assigned
Aug 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Ms. Kimberly Patrice Jones, RD
Title
Administrator
Phone
(313) 952-3328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

17250 W 12 Mile Rd
Suite 117
Southfield, MI 48076-2127

Mailing address

17250 W 12 Mile Rd
Suite 117
Southfield, MI 48076-2127
Phone (313) 952-3328

National Provider Directory

National Provider Directory

Locations

17250 W 12 Mile Rd
Ste 117
Southfield, MI 48076
Phone (248) 233-6436

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1912130592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 W 12 MILE RD",
            "address_2": "SUITE 117",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762127",
            "telephone_number": "313-952-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 W 12 MILE RD",
            "address_2": "SUITE 117",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762127",
            "telephone_number": "313-952-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-952-3328",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.