Nurse Practitioner in SOUTHFIELD, MI
Last Updated on : Nov 18,2015
SALLY RAE ARBUCKLE is a Nurse Practitioner provider in SOUTHFIELD, United States. Her medical specialization is Nurse Practitioner with a focus in Neonatal, Critical Care.
1114929338 is NPI number of SALLY RAE ARBUCKLE.
SALLY RAE ARBUCKLE's primary taxonomy code based on NPI Lookup is 363LN0005X with license number 4704076259. This taxonomy code refers to Nurse Practitioner.
SALLY RAE ARBUCKLE has more than 17 years of experience.
SALLY RAE ARBUCKLE current practice location address is 16001 W 9 MILE RD, SOUTHFIELD, MI. SALLY RAE ARBUCKLE can be reached out via phone at 248-849-3000 .
You can also correspond with SALLY RAE ARBUCKLE through mail at mailing address 16001 W 9 MILE RD, SOUTHFIELD, MI, United States. Mailing address contact number is 248-465-3144.
The enumeration date of SALLY RAE ARBUCKLE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 8 years ago.Basic NPI information of SALLY RAE ARBUCKLE (NPI 1114929338) is provided below.
Name | SALLY RAE ARBUCKLE |
---|---|
National Provider Id (NPI) | 1114929338 |
Entity Type | Individual |
Gender | F |
Credential | RN, NPC |
Practice Address | 16001 W 9 MILE RD,
SOUTHFIELD, MI, United States |
Practice Telephone | 248-849-3000 |
Practice Fax Number | |
Mailing Address | 16001 W 9 MILE RD ,
DEPT OF NEONATOLOGY
SOUTHFIELD, MI, United States |
Mailing Telephone | 248-465-3144 |
Mailing Fax Number | 248-465-3146 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 18-Nov-2015 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner, Neonatal, Critical Care | 4704076259 | MI |
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 163WN0002X | Registered Nurse, Neonatal Intensive Care | 4704076259 | MI |
N | 364SN0000X | Clinical Nurse Specialist, Neonatal | 4704076259 | MI |
N | 363LN0000X | Nurse Practitioner, Neonatal | 4704076259 | MI |
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
439455810 | MEDICAID (05) | MI |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1760925267 | 1 PERCENT LLC | 27090 DEVONSHIRE ST,
SOUTHFIELD, MI, United States |
01-Dec-2016 | |
1538400528 | 12 MILE REHAB LLC | Physical Therapist | 15600 W 12 MILE RD,
SUITE A SOUTHFIELD, MI, United States |
15-Mar-2013 |
1740768001 | 1ST ASSISTANT HOME HEALTH SERVICES | Home Health | 25820 SOUTHFIELD RD STE 209,
SOUTHFIELD, MI, United States |
30-Jul-2018 |
1972017499 | 1ST ASSISTANT HOME HEALTH SERVICES LLC | Home Health | 25820 SOUTHFIELD RD STE 209,
SOUTHFIELD, MI, United States |
20-Nov-2017 |
1780180521 | 2020 FAMILY VISION SF | Optometrist | 26771 W 12 MILE RD,
SOUTHFIELD, MI, United States |
02-Apr-2018 |
1851768873 | 24 SEVEN HOME HEALTH CARE, INC. | Home Health | 26200 LAHSER RD,
SOUTHFIELD, MI, United States |
25-Aug-2015 |
1912628397 | 262 CENTER LLC | Clinic/Center | PO BOX 2705,
SOUTHFIELD, MI, United States |
06-Sep-2022 |
1598806911 | 4 STAR HOME HEALTHCARE, INC | Home Health | 17520 W 12 MILE RD,
108 SOUTHFIELD, MI, United States |
09-Feb-2007 |
1346861838 | 4 TRANSPORT INC. | Non-emergency Medical Transport (VAN) | PO BOX 1558,
DEARBORN, MI, United States |
06-May-2020 |
1770149700 | 411 HELP II | Clinic/Center, Physical Therapy | PO BOX 7485,
DEARBORN, MI, United States |
15-May-2019 |
1174047286 | 411 HELP LLC | Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 23265 NORTHWESTERN HWY STE 300,
SOUTHFIELD, MI, United States |
31-Jul-2017 |
1437823465 | 411 PT INC | Clinic/Center, Physical Therapy | 19201 W WARREN AVE,
DETROIT, MI, United States |
03-Aug-2021 |
1942547773 | 4EDUCARE COGNITIVE & PHYSICAL HOME HEALTH GROUP, INC. | Home Health | 24333 SOUTHFIELD RD,
STE 108 SOUTHFIELD, MI, United States |
14-Jan-2013 |
1275926289 | 8 MILE LAB, LLC | Clinical Medical Laboratory | 1010 ALLEN ST,
SUITE 203 OWENSBORO, KY, United States |
16-Mar-2015 |
1467086611 | A BETTER CARE GROUP, INC. | Chore Provider | 24225 W 9 MILE RD STE 235,
SOUTHFIELD, MI, United States |
26-Feb-2020 |
1518665355 | A BETTER CARE GROUP, LLC | Chore Provider | 24225 W 9 MILE RD STE 235,
SOUTHFIELD, MI, United States |
21-Feb-2023 |
1174222707 | A BETTER CARE MICHIGAN, LLC | In Home Supportive Care | 24225 W 9 MILE RD STE 235,
SOUTHFIELD, MI, United States |
02-Mar-2023 |
1033982228 | A BETTER WAY ABA LLC | Behavior Analyst | 24225 W 9 MILE RD STE 140,
SOUTHFIELD, MI, United States |
31-Oct-2023 |
1851699045 | A NEW DAY | Home Health | 17900 BONSTELLE AVE,
28475 GREENFIELD SUITE 105 SOUTHFIELD, MI, United States |
11-Mar-2011 |
1952910911 | A ONE REHAB LLC | Physical Medicine & Rehabilitation | 24315 NORTHWESTERN HWY STE 1,
SOUTHFIELD, MI, United States |
27-Jul-2020 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1114929338 is the NPI number of SALLY RAE ARBUCKLE.
What is the specialty for SALLY RAE ARBUCKLE?The Specialty of SALLY RAE ARBUCKLE is Nurse Practitioner.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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