MICIA JENA EDDINS (NPI# 1275174484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275174484 |
| Entity Type | Individual |
| Full Name | MICIA JENA EDDINS |
| Practice Address |
4217 Aretha Ave Detroit MI 48201-1556 |
| Practice Telephone | 3137297419 |
| Mailing Telephone | 3137297419 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L-137388 | MI | Nursing Service Providers |
| Street Address |
4217 ARETHA AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851183 | Cynthia Jean Werner | Registered Nurse | 70067 Beach Dr, Edwardsburg, MI 49112-8434 | 2020-11-07 |
| 1790392959 | Theresa Hope Madoun | Registered Nurse | 3362 Parkland Dr, West Bloomfield, MI 48322-1828 | 2020-09-30 |
| 1609491133 | Rebecca Shanahan | Registered Nurse | 3489 W River Rd, Muskegon, MI 49445-9606 | 2020-06-10 |
| 1841814456 | Tara Roberta Sullivan | Registered Nurse | 24808 Boston St, Dearborn, MI 48124-4411 | 2020-05-31 |
| 1861031957 | Rebecca Taylor | Registered Nurse | 3150 Livernois Rd Ste 175, Troy, MI 48083-5058 | 2020-01-06 |
| 1790248854 | Lactation Home Support LLC | Registered Nurse | 1218 S Forest Dr, Muskegon, MI 49442-4814 | 2019-04-07 |
| 1386119477 | Lisa Marie Levy | Registered Nurse | 520 N Silvery Ln, Dearborn, MI 48128-1538 | 2018-10-04 |
| 1932680717 | Barbara Danielle Demske | Registered Nurse | 269 Roland St, Belleville, MI 48111-2742 | 2018-08-28 |
| 1053800649 | Leontine Wallace | Registered Nurse | 2300 Haggerty Rd Ste 2110, West Bloomfield, MI 48323-2191 | 2018-05-09 |
| 1588162200 | Linda Kay Gewirtz | Registered Nurse | 223 E Clinton St, Ovid, MI 48866-9704 | 2018-01-28 |
| Find all providers with the same taxonomy | ||||
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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.