IndividualActive
Alissa Southway, FNP-C
NPI 1396190328 · Family Nurse Practitioner · Macomb, MI
Provider details
- NPI number
- 1396190328
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 4704284597 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
46600 Romeo Plank Rd
Suite #4
Macomb, MI 48044-5741
Phone: (586) 228-5437
Street-level locationGet directions
Mailing address
45726 Pentwater Dr
Macomb, MI 48044-4237
Additional practice locations (1)
- 44201 Dequindre RdTroy, MI 48085-1117Phone: (248) 964-1043
Registry dates
- Enumerated
- 2016-04-27
- Last updated
- 2022-07-25
- Certified
- 2022-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.