Active NPI
Stephanie Burrell
- Other Technician
- Southfield, MI
National Provider Identifier
1932579299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 21475 Potomac St
Southfield, MI 48076-5576 - Phone
- (313) 450-2225
- NPI assigned
- Sep 30, 2015
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
21475 Potomac St
Southfield, MI 48076-5576
Mailing address
21475 Potomac St
Southfield, MI 48076-5576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247200000X | Other | TECHNICIAN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1932579299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21475 POTOMAC ST",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21475 POTOMAC ST",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765576",
"telephone_number": "313-450-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRELL",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TECHNICIAN",
"identifier": "247200000X",
"state": null
}
],
"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 Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.