Active NPI
Makula Brown, FNP-C
- Family Nurse Practitioner
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704306338
- Practice address
- 17330 Northland Park CT Ste 100
Southfield, MI 48075-4319 - Phone
- (313) 707-1268
- NPI assigned
- Aug 31, 2020
- Last updated
- Aug 31, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704306338 | MI | Primary |
Addresses
Primary practice location
17330 Northland Park CT Ste 100
Southfield, MI 48075-4319
Mailing address
1257 Wayburn St
Grosse Pointe Park, MI 48230-1058
Phone (313) 707-1268
Other practice location 1
1257 Wayburn St
Grosse Pointe Park, MI 48230-1058
Phone (313) 707-1268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17330 Northland Park CT
Suite 100
Southfield, MI 48075-4319
Phone (313) 974-0667
37674 Avon LN
Farmington Hills, MI 48331-3089
Phone (248) 556-4450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704306338 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nrarh Home Care Solutions Mi LLC | Multi-Specialty | Current | Accepting new patients |
| Neighborhood Service Organization | Multi-Specialty | Current | Accepting new patients |
| Keri Heart Inc | Multi-Specialty | Current | Accepting new patients |
| Villagehealth DM LLC | Multi-Specialty | Current | Accepting new patients |
| Karing Handz LLC | Multi-Specialty | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| Inner City Family Services Detroit LLC | Multi-Specialty | Past | Accepting new patients |
Locations
400 E Court Ave
Ste 110
Des Moines, IA 50309
7960 Grand River Rd
Ste 200
Brighton, MI 48114
8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601
18243 Wyoming St
Detroit, MI 48221
Phone (248) 843-5470
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Keri Heart Medical Center
- Internal Medicine Physician
- Detroit, MI
- NPI 1871281121
Multi-Specialty
-
- Family Nurse Practitioner
- Southfield, MI
- NPI 1649711789
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1457591083
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1891825808
Multi-Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MI, Multi-Specialty, SC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grosse Pointe, MI
- NPI 1558107276
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1942813712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 WAYBURN ST",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301058",
"telephone_number": "313-707-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17330 NORTHLAND PARK CT STE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754319",
"telephone_number": "313-707-1268"
}
],
"practiceLocations": [
{
"address_1": "1257 Wayburn St",
"address_purpose": "LOCATION",
"city": "Grosse Pointe Park",
"state": "MI",
"postal_code": "482301058",
"country_code": "US",
"telephone_number": "313-707-1268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "MAKULA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704306338",
"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 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.