FREDAZ FARES (NPI# 1336690486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336690486 |
| Entity Type | Individual |
| Full Name | FREDAZ FARES |
| Practice Address |
62 W 7 Mile Rd Detroit MI 48203-1967 |
| Practice Telephone | 3138936772 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704317324 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3434247 | 05 |
| Street Address |
62 W 7 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154478576 | Iklas Jarjis Bashi | Counselor | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2007-01-05 |
| 1437765492 | Jamila Ann Fox | Registered Nurse | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2020-09-16 |
| 1609480367 | Ali Ali | Case Manager/Care Coordinator | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2020-09-01 |
| 1821638677 | Heba Dabaja | Case Manager/Care Coordinator | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2020-01-09 |
| 1942849690 | Ryann S Hollis | Student in an Organized Health Care Education/Training Program | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2019-12-29 |
| 1083264576 | Juhaina Salim Said Al Wahaibi | Case Manager/Care Coordinator | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2019-09-17 |
| 1225687015 | Kendra Sue Hungerford | Case Manager/Care Coordinator | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2019-09-05 |
| 1255980041 | Lauren Taylor Holloway | Case Manager/Care Coordinator | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2019-09-05 |
| 1245896018 | Asraa Albonajem | Social Worker | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2019-05-16 |
| 1548826647 | Alonzo Davion Reed | Social Worker | 62 W 7 Mile Rd, Detroit, MI 48203-1967 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417783 | Tawana Danielle Williams | Registered Nurse | 866 Blaine St, Detroit, MI 48202-1938 | 2020-11-08 |
| 1528684099 | Barbara Ann Bracey | Registered Nurse | 6309 Mack Ave # 48207, Detroit, MI 48207-2302 | 2020-06-22 |
| 1891325049 | Karen Elizabeth Lacombe | Registered Nurse | 2925 Russell Street, Detroit, MI 48207-4825 | 2020-01-16 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1588220222 | John S Inthavongsa | Registered Nurse | 454 W Alexandrine St Apt 18, Detroit, MI 48201-1787 | 2019-05-17 |
| 1578036083 | Prevention Safe | Registered Nurse | 15429 Appoline St, Detroit, MI 48227-4007 | 2019-01-07 |
| 1831669175 | Amber Lenay Burnett | Registered Nurse | 19650 Telegraph Rd, Detroit, MI 48219-1624 | 2018-11-29 |
| 1285117085 | Kenyata Hamilton-carter | Registered Nurse | 8136 Sirron St, Detroit, MI 48234-3314 | 2018-09-08 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1558850768 | Doshaun Rene Edwards | Registered Nurse | 16151 Meyers Rd, Detroit, MI 48235-4108 | 2018-05-02 |
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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.