Althea Renee Dancy, MEDICAL ASSISTANT

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

12615 Mettetal St
Detroit, MI 48227-1241

Phone

(734) 834-2935

NPI assigned

Nov 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Althea R Stovall Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1982207882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 METTETAL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271241",
            "telephone_number": "734-834-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 METTETAL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271241",
            "telephone_number": "734-834-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCY",
        "first_name": "ALTHEA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MEDICAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9428286",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALTHEA",
            "last_name": "STOVALL",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "MAIDEN NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mathew Paul Damore, CRNA
• Courtney E Damphouse, FNP-BC
• Jane Ann Damren, R.N.
• Anirudh Reddy Damughatla, DO
• Dana Dental DDS PLLC
• Kyra Latorre Dancy
• John Archer Dandridge, LMSW
• Marlisa Dandridge, LPN
• Richard James Dandy, CPRM
• Amir Mohammad Daneshvar

• Home Health Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.