FATEEHA TARIQ (NPI# 1801425954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801425954 |
Entity Type | Individual |
Full Name | FATEEHA TARIQ |
Practice Address |
1108 Ross Clark Circle, Suite 210 Dothan AL 36302 |
Mailing Address |
1108 Ross Clark Cir Ste 210 Dothan AL 36301-3022 |
Practice Telephone | 3347123329 |
Practice Fax Number | 3343050219 |
Mailing Telephone | 3347123329 |
Enumeration Date | 2020-04-01 |
Last Update Date | 2020-04-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1108 ROSS CLARK CIRCLE, SUITE 210 |
City | DOTHAN |
State | AL |
Zip Code | 36302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194008383 | Jamie Harrison Crook | Audiologist | 301 Andrews Avenue, Eye and Ear Clinic (eent), Lyster Army Health Clinic, Ft. Rucker, AL 36302 | 2011-09-23 |
1477654671 | Jl Scott Inc | Pharmacy | 2021 Alexander Dr, Dothan, AL 36302 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089619 | Daniel Brumley | Dentist | 3400 Montgomery Hwy Ste 1, Dothan, AL 36303-1270 | 2020-10-05 |
1386250207 | Samantha Rose Pichler | Nurse Practitioner | 256 Honeysuckle Rd Ste 3, Dothan, AL 36305-1168 | 2020-09-16 |
1679186001 | Silvannia Waters | Home Health | 1909 Montgomery Hwy Ste 310, Dothan, AL 36303-3299 | 2020-08-25 |
1972115616 | Hannah Grace Foster | Specialist/Technologist | 4031 Wiregrass Dr, Dothan, AL 36301-9500 | 2020-08-22 |
1740891811 | Reach Kidney Care LLC | Case Management | 810 Hedstrom Dr Ste 2, Dothan, AL 36301-4774 | 2020-08-12 |
1700496031 | Kayla Willis | Audiologist | 560 Westgate Pkwy Ste 4, Dothan, AL 36303-3076 | 2020-08-02 |
1205444841 | Circle City Speech, LLC | Speech-Language Pathologist | 102 Surrey Ct, Dothan, AL 36305-6910 | 2020-07-20 |
1245858885 | Keshawna Swinton | Counselor | 300 Columbia Hwy, Dothan, AL 36301-1726 | 2020-07-09 |
1427676584 | Julie Danielle Laird | Nurse Practitioner | 453 Sandstone Dr, Dothan, AL 36303-7313 | 2020-07-06 |
1669096012 | Michael Porterfield | Social Worker | 216 Primrose Dr, Dothan, AL 36303-5538 | 2020-06-02 |
Find all providers in DOTHAN |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841813664 | Oluwafemi Odunayo Osunnuga | Student in an Organized Health Care Education/Training Program | 445 Health Sciences Blvd Apt 5205, Dothan, AL 36303-6904 | 2020-05-27 |
1831723618 | David Ivan Bermejo | Student in an Organized Health Care Education/Training Program | 445 Health Sciences Blvd, Dothan, AL 36303-6904 | 2020-03-02 |
1124658638 | Cecilia Marie Hughes | Student in an Organized Health Care Education/Training Program | 892 Royal Pkwy, Dothan, AL 36305-9424 | 2020-01-23 |
1801426317 | Mackenzie Erin Hill | Student in an Organized Health Care Education/Training Program | 121 Greenview Cir, Dothan, AL 36301-7823 | 2020-01-23 |
1922638436 | Jaden Chandler | Student in an Organized Health Care Education/Training Program | 1259 Campbellton Hwy, Dothan, AL 36301-7624 | 2020-01-23 |
1720618234 | Belinda Casey Carter | Student in an Organized Health Care Education/Training Program | 2631 N County Road 49, Dothan, AL 36305-5141 | 2020-01-23 |
1750866182 | James Case | Student in an Organized Health Care Education/Training Program | 1108 Ross Clark Cir Ste 210, Dothan, AL 36301-3022 | 2018-10-02 |
1932646650 | Christopher David Randall Jr. | Student in an Organized Health Care Education/Training Program | 1017 Lucy Grade Rd, Dothan, AL 36301-8075 | 2017-01-20 |
1306231428 | Jimmy Huynh | Student in an Organized Health Care Education/Training Program | 571 Trawick Rd, Dothan, AL 36305-4219 | 2015-04-06 |
1225423635 | Dan Fortin | Student in an Organized Health Care Education/Training Program | 2618 Rosebush Rd, Dothan, AL 36303-5521 | 2015-04-02 |
Find all providers in DOTHAN |
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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.