Individual provider Active NPI

Vanessa Tran Phan-Dang, FNP

  • Nurse Practitioner
  • Washington, MI
National Provider Identifier
1952821035
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704290137 Issued in MI
Practice address
57850 Van Dyke Rd
Washington, MI 48094-3826
Phone
(586) 935-4000
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704290137 MI Primary

Addresses

Primary practice location

57850 Van Dyke Rd
Washington, MI 48094-3826

Mailing address

8812 Ridge Dr
Washington, MI 48095
Phone (616) 885-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803003156 MI Practitioner - Nurse Practitioner 2264703610 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3131 S State St
Ann Arbor, MI 48108-1658
Phone (734) 213-6285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Health Corporation of Southeastern Michigan CurrentSince Oct 1, 2018 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Jun 19, 2017 Accepting new patients
Royal Urgent Care, PLLC CurrentSince Nov 8, 2017 Accepting new patients
American Current Care of Michigan PC Current Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Oct 1, 2018 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Jun 19, 2017 Accepting new patients
American Current Care of Michigan PC CurrentSince Jan 8, 2019 Accepting new patients
First Choice Urgent Care PC PastSince Jun 19, 2017 Accepting new patients

Locations

3131 S State St
Ann Arbor, MI 48108
Phone (734) 213-6285

436 44th St SE
Ste A
Kentwood, MI 49548
Phone (616) 531-9750

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

2331 Alpine Ave NW
Walker, MI 49544
Phone (616) 785-2619

11569 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-0018

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: vphan206849@direct.hfhs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1952821035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 RIDGE DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "616-885-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57850 VAN DYKE RD",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943826",
            "telephone_number": "586-935-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN-DANG",
        "first_name": "VANESSA",
        "middle_name": "TRAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704290137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

Verify at the official NPI Registry.