ANNOINTED OUTREACH
NPI 1023673639
Clinical Nurse Specialist - Adult Health in Pontiac, MI

Active since May 08, 2019
1175 BALDWIN AVE, PONTIAC, MI 48340(248) 221-5469 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2021, May 8, 2019 (2 updates tracked since 2019).

About Annointed Outreach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNOINTED OUTREACH (NPI 1023673639) is a healthcare organization registered as an adult health in Pontiac, Michigan and active in the NPI registry since May 2019. The organization lists Lazon Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023673639
Entity TypeOrganization
Primary Taxonomy364SA2200X
Legal Business NameANNOINTED OUTREACH
Location Address1175 BALDWIN AVEPontiac, MI 48340-2709
Mailing Address1175 Baldwin AvePontiac, MI 48340-2709 · (248) 221-5469
Organization SubpartNo
Authorized OfficialLazon JohnsonAdministrator · (248) 221-5469
Enumeration DateMay 8, 2019
Last NPPES UpdateOctober 7, 20212 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
NPI 1023673639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
1175 BALDWIN AVE, Pontiac, MI 48340

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Care
1175 BALDWIN AVE
PONTIAC, MI 48340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annointed Outreach's NPI number?

The NPI number for Annointed Outreach is 1023673639. It was assigned to this organization in the NPPES registry on May 8, 2019.

Where is Annointed Outreach located?

Annointed Outreach is located at 1175 Baldwin Ave, Pontiac, MI 48340. The listed phone number is (248) 221-5469.

What is Annointed Outreach's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Annointed Outreach was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.