Providence-Providence Park Hospital
NPI 1780649822 · Registered Nurse · Southfield, MI
Providence-Providence Park Hospital is a Registered Nurse organization in Southfield, MI (NPI 1780649822).
Provider details
- NPI number
- 1780649822
- Entity type
- Organization
- Primary specialty
- Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Johnson, Director, Central Billing Office(248) 680-8206
Specialties & taxonomies
Nursing Service Providers
- Critical Care Medicine Registered Nurse163WC0200X
Nursing Service Providers
- Hospice Registered Nurse163WH1000X
Nursing Service Providers
- Maternal Newborn Registered Nurse163WM0102X
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Other name
- Ph Nurse Practitioners/Providence Hospital and Medical Centers Inc
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2016-08-25
Frequently asked questions
- What is Providence-Providence Park Hospital's NPI number?
- Providence-Providence Park Hospital's National Provider Identifier (NPI) is 1780649822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence-Providence Park Hospital?
- Providence-Providence Park Hospital is classified in the NPPES registry as Registered Nurse (Nursing Service Providers).
- Where is Providence-Providence Park Hospital located?
- Providence-Providence Park Hospital's practice location on file with NPPES is 16001 W 9 Mile Rd, Southfield, MI 48075-4818.
- What is Providence-Providence Park Hospital's phone number?
- The practice phone number listed in the NPPES registry for Providence-Providence Park Hospital is (248) 849-3000.
- Who is the authorized official for Providence-Providence Park Hospital?
- The authorized official listed on Providence-Providence Park Hospital's NPPES record is Jennifer Johnson, Director, Central Billing Office. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence-Providence Park Hospital's NPI active?
- Yes — Providence-Providence Park Hospital's NPI (1780649822) is active in the NPPES registry as of the last update on 2016-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.