REBECCAH MAY BORDER (NPI# 1104268283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104268283 |
| Entity Type | Individual |
| Full Name | REBECCAH MAY BORDER |
| Credential | NP-C |
| Practice Address |
3220 W Silver Lake Rd Fenton MI 48430-1374 |
| Practice Telephone | 8102087470 |
| Practice Fax Number | 8102087471 |
| Mailing Telephone | 8102087470 |
| Mailing Fax Number | 8102087471 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704251422 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1104268283 | 05 |
| Street Address |
3220 W SILVER LAKE RD |
| City | FENTON |
| State | MI |
| Zip Code | 48430-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124079512 | Robert L Mccarthy | Internal Medicine | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 | 2006-05-12 |
| 1093166340 | Jennifer Hogan | Nurse Practitioner | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 | 2016-06-28 |
| 1346262821 | Jo Ann Johnson | Personal Emergency Response Attendant | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591375 | Katherine Schoo | Nurse Practitioner | 1375 N Highway Dr, Fenton, MO 63026-1929 | 2019-04-24 |
| 1437634904 | Linda Trinh Boucher | Nurse Practitioner | 1011 Bowles Ave Ste 205, Fenton, MO 63026-2387 | 2018-10-01 |
| 1952709099 | Kellie Hopkins | Nurse Practitioner | 1747 Smizer Station Rd Ste 5, Fenton, MO 63026-2784 | 2014-12-05 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1033524665 | Brooke Salas | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste A, Fenton, MO 63026-7758 | 2014-06-23 |
| 1235380064 | Stacie D Detmer | Nurse Practitioner | 1011 Bowles Ave Ste 450, Fenton, MO 63026-0562 | 2008-10-10 |
| 1720006844 | Susan James | Nurse Practitioner | 1001 Bowles Ave, Fenton, MO 63026-2338 | 2006-07-17 |
| 1639777162 | Painless Medical Pllc | Nurse Practitioner | 2803 W Silver Lake Rd, Fenton, MI 48430-2655 | 2020-10-16 |
| 1346848215 | Alexandra E Zdenek | Nurse Practitioner | 1100 Torrey Rd Ste 300, Fenton, MI 48430-3327 | 2020-10-13 |
| 1164064440 | Kimberly Michelle Emery | Nurse Practitioner | 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026-7305 | 2019-10-08 |
| Find all providers in FENTON | ||||
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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.