COURTNEY ELYSE FEZZEY (NPI# 1073935383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073935383 |
Entity Type | Individual |
Full Name | COURTNEY ELYSE FEZZEY |
Practice Address |
3200 E Lafayette St Detroit MI 48207-3812 |
Practice Telephone | 3135670534 |
Practice Fax Number | 3135670560 |
Mailing Telephone | 3135670534 |
Mailing Fax Number | 3135670560 |
Enumeration Date | 2014-01-07 |
Last Update Date | 2019-02-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
4704268781 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
39200 Garfield Rd, Suite E, Clinton Twp, MI 480384095 | 5862634010 |
Street Address |
3200 E LAFAYETTE ST |
City | DETROIT |
State | MI |
Zip Code | 48207-3812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447642004 | Krzysztof Kuchta | Counselor | 3200 E Lafayette St, Detroit, MI 48207-3812 | 2015-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
Find all providers in zip 48207 |
Taxonomy Code | 363LP0222X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053650291 | Michelle Mcnaughton | Nurse Practitioner | 5301 Beaubien Street, Detroit, MI 48201 | 2013-02-07 |
1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
1104301910 | Kacee Anne Harris-jones | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2018-09-27 |
1144731621 | Erica Danielle Curtis | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2017-10-23 |
1922492750 | Megan Worley | Nurse Practitioner | 3901 Beaubien St, 2nd Fl Carls Bldg, Detroit, MI 48201-2119 | 2015-03-18 |
1154664753 | Kenneth James Early | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2013-04-02 |
1477875045 | Cortney Lynn Mazur | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-02-23 |
1306168323 | Lauren Michele Kelm | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-02-17 |
1710143730 | Kristen Leigh Richards | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932629979 | Tiffany Nicole Cassidy | Nurse Practitioner | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2017-06-21 |
1851760870 | Rebecca Lynn Tompkins | Nurse Practitioner | 1500 E Medical Center Dr, 11th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4204 | 2015-09-21 |
1124449459 | Blythe Pollack | Nurse Practitioner | 1500 E Medical Center Dr, 10th Floor C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4286 | 2014-01-06 |
1851494272 | Deborah Ann Stewart | Nurse Practitioner | 601 John St, Suite E-352, Kalamazoo, MI 49007-5341 | 2006-09-07 |
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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.