Active NPI
Trisha Ann Pruitt, R.N.
- Registered Nurse
- Westland, MI
National Provider Identifier
1962809764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704191115
- Practice address
- 8623 N Wayne Rd
Suite 200
Westland, MI 48185-1137 - Phone
- (734) 458-4601
- Fax
- (734) 458-4611
- NPI assigned
- Nov 24, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704191115 | MI | Primary |
Addresses
Primary practice location
8623 N Wayne Rd
Suite 200
Westland, MI 48185-1137
Mailing address
8840 Cooley Lake Rd
White Lake, MI 48386-4024
Phone (248) 242-3474
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704191115 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1962809764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 COOLEY LAKE RD",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483864024",
"telephone_number": "248-242-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8623 N WAYNE RD",
"address_2": "SUITE 200",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481851137",
"telephone_number": "734-458-4601",
"fax_number": "734-458-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "TRISHA",
"middle_name": "ANN",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704191115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westland, MI
- Procura Health Solutions PLLC
- Progressions Mental Health Counseling LLC
- Progressive Medical Equipment, Inc.
- Prohealth Home Healthcare Inc
- Kimberly Pruitt
- Soraya Puerto-Khalil
- John Pulvirenti
- Abigail Putnam
- Qasim Omran MD PLLC (Sleep & Respiratory Clinic)
- Quad Health Solutions PC (Michigan Family Physicians, a division of Quad Helath Soultions, PC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.