MIA LOVE (NPI# 1295079895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295079895 |
| Entity Type | Individual |
| Full Name | MIA LOVE |
| Credential | CPNP |
| Practice Address |
2959 Martin Luther King Jr Blvd Detroit MI 48208 |
| Mailing Address |
2959 Martin Luther King Jr Blvd Detroit MI 48208-2475 |
| Practice Telephone | 3134632037 |
| Practice Fax Number | 3134632201 |
| Mailing Telephone | 3134632037 |
| Mailing Fax Number | 3134632201 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704264783 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Beaubien St, 6 West, Detroit, MI 482012119 | 3139932950 | 3137450002 |
| Street Address |
2959 MARTIN LUTHER KING JR BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1932645405 | Diane Louise Dodson | Counselor | 5500 Trumbull Apt 315, Detroit, MI 48208 | 2017-01-09 |
| 1164881306 | Cory Eugene Martin | Counselor | 1852 W. Grand Blvd., Detroit, MI 48208 | 2016-02-16 |
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1942629167 | Diana Pool | Counselor | 3737 Lawton, Detroit, MI 48208 | 2014-04-15 |
| 1124467048 | Aisha Williams | Social Worker | 4707 Vinewood St., Detroit, MI 48208 | 2013-06-25 |
| 1992064356 | Valarie Egeria Foulks | Counselor | 2051 W. Grand Blvd, Detroit, MI 48208 | 2012-05-04 |
| 1023304078 | Ayana Njeri Davis | Massage Therapist | 2550 W. Grand Blvd, Detroit, MI 48208 | 2011-06-28 |
| 1184922627 | Shar Inc. | Community Based Residential Treatment Facility, Mental Illness | 1852 W.grand Blvd, Detroit, MI 48208 | 2011-03-08 |
| 1881991891 | Joan Gist | Counselor | 1852 W. Grand Blvd, Detroit, MI 48208 | 2011-02-28 |
| Find all providers in zip 48208 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376913822 | Michael J. Mooney | Nurse Practitioner | 3901 Beaubien, 3rd Floor Carl's Bldg,, #3g32, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2015-09-28 |
| 1164773099 | Fatima Mays | Nurse Practitioner | 5020 Cadieux, Detroit, MI 48224-2153 | 2012-10-02 |
| 1891027173 | Ruth Alma Roeder | Nurse Practitioner | 3901 Beaubien 3rd Floor Main Bldg, Children's Hospital of Mi, Detroit, MI 48201 | 2010-02-11 |
| 1265584171 | April K Morris | Nurse Practitioner | 3901 Beaubien - Er Dept, Children's Hospital of Mi, Detroit, MI 48201 | 2007-01-18 |
| 1336299767 | Patricia Sue Beierwaltes | Nurse Practitioner | Children's Hospital of Michigan, 3901 Beaubien Blvd., Detroit, MI 48201 | 2007-01-10 |
| 1508921388 | Tina Marcia Almanza | Nurse Practitioner | 1903 Wilkins St, Detroit, MI 48207-2112 | 2006-12-22 |
| 1871656629 | Sylvia Lou Smith | Nurse Practitioner | 8820 Woodrow Wilson St, Hutchins Health Center (henry Ford Health System), Detroit, MI 48206-2216 | 2006-12-19 |
| 1194762195 | Heather L Bartlett | Nurse Practitioner | 3950 Beaubien, Childrens Hospital of Mi, Detroit, MI 48201 | 2006-05-31 |
| 1033188099 | Cathy Patty-resk | Nurse Practitioner | Children's Hospital of Mi, 3950 Beaubien, Detroit, MI 48201 | 2006-03-14 |
| 1386648897 | Jonnie M Hamilton | Nurse Practitioner | 2301 Van Dyke St, Detroit, MI 48214-3958 | 2005-06-13 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.