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BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER
NPI 1194774919
Nurse Practitioner in Royal Oak, MI

Active since May 09, 2006
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 423-2454 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Jul 22, 2021, Apr 14, 2021 and 1 more (4 updates tracked since 2020).

About Beaumont Professional Services/nurse Practioner NPPES

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

BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER (NPI 1194774919) is a healthcare organization registered as a nurse practitioner in Royal Oak, Michigan and active in the NPI registry since May 2006. The organization lists Lee Ann Odom, President Shared Services, as its authorized official.

NPPES Registry Identity

NPI1194774919
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameWILLIAM BEAUMONT HOSPITALS
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont Blvd, ComplianceSouthfield, MI 48033-3842 · (947) 522-1964
Phone(248) 423-2454
Organization SubpartYesParent: William Beaumont Hospital
Authorized OfficialLee Ann OdomPresident Shared Services · (947) 522-3326
Enumeration DateMay 9, 2006
Last NPPES UpdateOctober 1, 20214 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1194774919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3601 W 13 MILE RD, Royal Oak, MI 48073
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Other Names 1

Doing Business AsBeaumont Professional Services/nurse Practioner

Other Identifiers 1

Other0F31819MI · Bcbsm

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

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.

AMIT BAHL MD, MPH
Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Oakland County (248) 898-0575
CATHERINE LEE PA
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 423-2481
DR. APARNA HARIHARAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-9060
TERRENCE METZ
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000
NICOLE MARIJANOVICH MD
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-7999
VINAYATA MANUBALLA KARETI D.O.
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (661) 948-0803
WESLEY RICHARD BARNES M.D.
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-2800
MELISSA JOY DREWRY M.D.
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000

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 William Beaumont Hospitals's NPI number?

The NPI number for William Beaumont Hospitals is 1194774919. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Beaumont Professional Services/Nurse Practioner.

Where is William Beaumont Hospitals located?

William Beaumont Hospitals is located at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 423-2454.

What is William Beaumont Hospitals's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does William Beaumont Hospitals accept?

Health plans from Blue Care Network of Michigan list William Beaumont Hospitals as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Beaumont Hospitals was last updated on October 1, 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.