Individual provider Active NPI

Mireille Touma, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1972934941
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
47041 79048 Issued in MI
Practice address
18320 Farmington Rd
Livonia, MI 48152
Phone
(248) 476-9200
NPI assigned
Dec 2, 2013
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704179048 MI
Primary Care Nurse Practitioner 363LP2300X 47041 79048 MI Primary

Addresses

Primary practice location

18320 Farmington Rd
Livonia, MI 48152

Mailing address

18320 Farmington Rd
Livonia, MI 48152
Phone (248) 476-9200

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
I20140327002120 MI Practitioner - Nurse Practitioner 2365673746 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Park Place Family Practice and Internal MedicineGroup PAC ID 4880012657, 5 clinicians
Premier Medicine PCGroup PAC ID 3971582685, 12 clinicians

Practice addresses (Care Compare)

12701 Telegraph Rd
Suite 103
Taylor, MI 48180-4087
Phone (734) 374-0500

20280 Middlebelt Rd
Suite 500
Livonia, MI 48152-2002
Phone (248) 987-1270

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47041 79048MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medicine PC Adult Health CurrentSince Mar 4, 2014 Accepting new patients
Park Place Family Practice & Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Slim Internal Medicine PLLC CurrentSince Mar 1, 2026 Accepting new patients
Ark Cardiovascular & Arrhythmia Center PLC PastSince Mar 4, 2014 Accepting new patients

Locations

10306 Dix
Dearborn, MI 48120
Phone (313) 842-6375

24513 Ford Rd
Dearborn, MI 48128
Phone (313) 562-9020

5479 Schaefer Rd
Dearborn, MI 48126
Phone (313) 357-2225

9550 Dix
Dearborn, MI 48120
Phone (313) 438-5158

20280 Middlebelt Rd
Ste 500
Livonia, MI 48152
Phone (248) 987-1270

20290 Middlebelt Rd
Livonia, MI 48152
Phone (248) 987-1250

12701 Telegraph Rd
Ste 103
Taylor, MI 48180
Phone (734) 374-0500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16805/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mireille.touma.1@16805.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1972934941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18320 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "248-476-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18320 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "248-476-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUMA",
        "first_name": "MIREILLE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704179048",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "47041 79048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.