KATHERINE ANNE REPP (NPI# 1023465010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023465010 |
| Entity Type | Individual |
| Full Name | KATHERINE ANNE REPP |
| Credential | NP |
| Practice Address |
18181 Oakwood Blvd Suite 101 Dearborn MI 48124-5032 |
| Mailing Address |
18181 Oakwood Blvd Ste 101 Dearborn MI 48124-4082 |
| Practice Telephone | 3134362426 |
| Mailing Telephone | 3134362426 |
| Mailing Fax Number | 3134362440 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704285347 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18181 OAKWOOD BLVD SUITE 101 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-5032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013994425 | Maria F Hayes | Obstetrics & Gynecology | 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 | 2005-12-28 |
| 1619402203 | Ola Abol Hosn | Nurse Practitioner | 18181 Oakwood Blvd, Dearborn, MI 48124-5032 | 2017-04-20 |
| 1578014502 | Vijayalakshmi Nagappan Md PC | Internal Medicine | 18181 Oakwood Blvd, Suite 101, Dearborn, MI 48124-5032 | 2016-10-14 |
| 1386192417 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 18181 Oakwood Blvd, #104, Dearborn, MI 48124-5032 | 2016-09-19 |
| 1730530973 | Ccma Beaumont Pllc | Internal Medicine | 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 | 2016-06-29 |
| 1851768717 | Miada Saad | Physician Assistant | 18181 Oakwood Blvd, Dearborn, MI 48124-5032 | 2015-08-27 |
| 1174909592 | Ian Lytle Md PC | Plastic Surgery | 18181 Oakwood Blvd, Suite 200, Dearborn, MI 48124-5032 | 2015-08-07 |
| 1134502040 | Fawn Renee Watts | Registered Nurse | 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 | 2015-07-09 |
| 1467834598 | Maryam Mohammad-pour Daryaee | Audiologist | 18181 Oakwood Blvd, Suite 402, Dearborn, MI 48124-5032 | 2015-06-25 |
| 1700279783 | Brandon Robert Helchowski | Nurse Practitioner | 18181 Oakwood Blvd, Suite 403, Dearborn, MI 48124-5032 | 2015-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811418726 | Elizabeth Karaali | Nurse Practitioner | 5728 Schaefer Rd Ste 103, Dearborn, MI 48126-2287 | 2017-06-30 |
| 1063818326 | Laura Goodwin | Nurse Practitioner | 18181 Oakwood Blvd Ste 203, Dearborn, MI 48124-4082 | 2014-11-14 |
| 1245830264 | Claire Gebara | Nurse Practitioner | 8740 W Warren Ave, Dearborn, MI 48126-4043 | 2020-10-28 |
| 1023500972 | Sandhya Jain | Nurse Practitioner | 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1800 | 2018-06-05 |
| 1346750262 | Lowella Camille Dequiros | Nurse Practitioner | 1039 Washington St, Dearborn, MI 48124-2016 | 2017-10-05 |
| 1528500774 | Tarick Salamey | Nurse Practitioner | 6500 Schaefer Rd, Dearborn, MI 48126 | 2016-11-04 |
| 1598174005 | Pamela M Drury | Nurse Practitioner | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2014-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
| 1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
| 1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
| 1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
| 1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
| 1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
| 1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
| 1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.