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NICK VANDIVER
NPI 1124851654
Peer Specialist in Detroit, MI

Active since August 21, 2024
6821 MEDBURY ST, DETROIT, MI 48211(313) 922-2222(866) 287-5710 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nick Vandiver NPPES

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

NICK VANDIVER (NPI 1124851654) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1124851654
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNICK VANDIVER
Location Address6821 MEDBURY STDetroit, MI 48211-3317
Mailing Address6821 Medbury StDetroit, MI 48211-3317 · (313) 922-2222 · Fax (866) 287-5710
Phone(313) 922-2222
Fax(866) 287-5710
Sole ProprietorNo
Enumeration DateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1124851654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
6821 MEDBURY ST, Detroit, MI 48211
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Other Providers at the Same Location NPPES 20

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

WILLIAM J MORGAN
Peer Specialist
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
TATYANA AUBREY PRYOR LLMSW
Social Worker
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
CARMETIA GORDON LPN
Licensed Practical Nurse
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
LONDON THOMPSON LPN
Licensed Practical Nurse
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
TANISHA HUGHES RN
Registered Nurse (Addiction (Substance Use Disorder))
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
CRYSTAL P WILLIAMS
Counselor (Addiction (Substance Use Disorder))
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
DESJAMBRA JACKSON LPN
Licensed Practical Nurse
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
ASHLEY SMELTZER
Peer Specialist
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222

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 Nick Vandiver's NPI number?

The NPI number for Nick Vandiver is 1124851654. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Nick Vandiver located?

Nick Vandiver practices at 6821 Medbury St, Detroit, MI 48211. The listed phone number is (313) 922-2222.

What is Nick Vandiver's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nick Vandiver was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.