Individual provider Active NPI

Alberta Smith Plump

  • Case Management Registered Nurse
  • Detroit, MI
National Provider Identifier
1962154492
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
4704091720 Issued in MI
Practice address
1333 Brewery Park Blvd Ste 200
Detroit, MI 48207-4544
Phone
(313) 446-4444
Fax
(313) 446-4445
NPI assigned
Jan 26, 2022
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 4704091720 MI Primary

Addresses

Primary practice location

1333 Brewery Park Blvd Ste 200
Detroit, MI 48207-4544

Mailing address

1333 Brewery Park Blvd Ste 200
Detroit, MI 48207-4544
Phone (313) 446-4444

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

LicenseStateTypeSpecialty
4704091720MIMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1962154492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BREWERY PARK BLVD STE 200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074544",
            "telephone_number": "313-446-4444",
            "fax_number": "313-446-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BREWERY PARK BLVD STE 200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074544",
            "telephone_number": "313-446-4444",
            "fax_number": "313-446-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH PLUMP",
        "first_name": "ALBERTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704091720",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 26, 2022; 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.