ALEXANDRIA FORST (NPI# 1164047577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164047577 |
| Entity Type | Individual |
| Full Name | ALEXANDRIA FORST |
| Practice Address |
19275 Northline Rd Southgate MI 48195-2220 |
| Mailing Address |
26510 Willow Cv Woodhaven MI 48183-4457 |
| Practice Telephone | 7347857716 |
| Mailing Telephone | 7348924999 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 E Ferry St, Detroit, MI 482023802 | 3138332970 |
| Street Address |
19275 NORTHLINE RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043316433 | Tiffany Kenya Redding | Counselor | 19275 Northline Rd, Southgate, MI 48195-2220 | 2006-09-15 |
| 1639714421 | Hannah Elizabeth Turnbull | Student in an Organized Health Care Education/Training Program | 19275 Northline Rd, Southgate, MI 48195-2220 | 2019-11-15 |
| 1740730878 | Dominique Zander | Social Worker | 19275 Northline Rd, Building 7, Southgate, MI 48195-2220 | 2016-10-13 |
| 1396125852 | Laura Lee Gerwatowski | Counselor | 19275 Northline Rd, Southgate, MI 48195-2220 | 2015-05-31 |
| 1306247846 | Sarah Daniels | Social Worker | 19275 Northline Rd, Southgate, MI 48195-2220 | 2014-09-15 |
| 1508274010 | Sarah Duxter | Social Worker | 19275 Northline Rd, Southgate, MI 48195-2220 | 2014-07-28 |
| 1275954596 | Breanna Greer | Counselor | 19275 Northline Rd, Southgate, MI 48195-2220 | 2014-01-05 |
| 1730518267 | Shannon Mcinchak | Social Worker | 19275 Northline Rd, Southgate, MI 48195-2220 | 2013-11-05 |
| 1720227663 | Eric Anthony West | Registered Nurse | 19275 Northline Rd, Southgate, MI 48195-2220 | 2009-02-17 |
| 1134380488 | Rose M Hopkins | Psychologist | 19275 Northline Rd, Southgate, MI 48195-2220 | 2008-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
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| 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 |
|---|---|---|---|---|
| 1548770894 | Tyler Shumake | Student in an Organized Health Care Education/Training Program | 13130 Mercier St, Southgate, MI 48195-1222 | 2017-10-01 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1881944981 | Gyda Dogg Einarsdottir | Student in an Organized Health Care Education/Training Program | 13333 Allen Rd, Southgate, MI 48195-2216 | 2012-09-16 |
| 1669744090 | Leah K Huber | Student in an Organized Health Care Education/Training Program | 13123 Allen Road, Southgate, MI 48195 | 2012-02-01 |
| 1699381541 | Kimberli Hoze | Student in an Organized Health Care Education/Training Program | 13111 Allen Rd, Southgate, MI 48195-2216 | 2020-09-16 |
| 1780295352 | Lilliana Kesseler | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-08-16 |
| 1093331290 | Hannah Langlois | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-06-23 |
| 1124664586 | Kyme'ja Ajoy Barnes-talley | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2019-11-20 |
| 1639714421 | Hannah Elizabeth Turnbull | Student in an Organized Health Care Education/Training Program | 19275 Northline Rd, Southgate, MI 48195-2220 | 2019-11-15 |
| 1144870296 | Efthymia Orkopoulou Orkopoulou | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2019-09-19 |
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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.