What is Khadijah Pruitt's NPI number?

Khadijah Pruitt's National Provider Identifier (NPI) is 1508582396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Khadijah Pruitt's specialty?

Khadijah Pruitt is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Khadijah Pruitt located?

Khadijah Pruitt's practice location on file with NPPES is 4646 John R St, Detroit, MI 48201-1916.

What is Khadijah Pruitt's phone number?

The practice phone number listed in the NPPES registry for Khadijah Pruitt is (313) 576-1000.

Is Khadijah Pruitt's NPI active?

Yes — Khadijah Pruitt's NPI (1508582396) is active in the NPPES registry as of the last update on 2022-10-13.

IndividualActive

Khadijah Pruitt

NPI 1508582396 · Registered Nurse · Detroit, MI

Khadijah Pruitt is a Registered Nurse provider in Detroit, MI (NPI 1508582396).

Provider details

NPI number: 1508582396
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 4704315058 (MI)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 4704315058 (MI)
Nursing Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

4646 John R St

Detroit, MI 48201-1916

Phone: (313) 576-1000

Street-level locationGet directions

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Mailing address