MRS. COLLEEN ELIZABETH RIECK (NPI# 1194190512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194190512 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN ELIZABETH RIECK |
| Credential | MSN, RN, CPNP-AC |
| Practice Address |
3901 Beaubien Childre4n's Hospital of Mi Detroit MI 48201-2119 |
| Mailing Address |
4201 St. Antoine Uhc 5d Mailbox# 226 University Pediatricians Detroit MI 48201-2119 |
| Practice Telephone | 3137455515 |
| Practice Fax Number | 3137455237 |
| Mailing Telephone | 3139665051 |
| Mailing Fax Number | 3139660665 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2016-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704186687 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
4704186687 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3901 BEAUBIEN CHILDRE4N'S HOSPITAL OF MI |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386604460 | Melissa Jane Gregory | Pediatrics | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201 | 2006-03-24 |
| 1114544277 | Binay Gurung | Student in an Organized Health Care Education/Training Program | 3901 Beaubien, Detroit, MI 48201 | 2020-07-06 |
| 1336679091 | Patrick L. Tomlinson | Nurse Practitioner | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201 | 2017-06-15 |
| 1467904904 | Stefanie Blake | Nurse Practitioner | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201 | 2016-11-01 |
| 1073064416 | Cristy A. Guagenti | Nurse Practitioner | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201 | 2016-10-20 |
| 1114476728 | Anne E. Laurain | Nurse Practitioner | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2016-09-23 |
| 1306295902 | Alexis Smith | Physician Assistant | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2016-06-06 |
| 1497124093 | Kara Fiegel | Physician Assistant | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201-2119 | 2015-09-24 |
| 1942681473 | Teresa Carlesimo | Nurse Practitioner | 3901 Beaubien, University Pediatricians/children's Hospital of Mi, Detroit, MI 48201 | 2015-06-10 |
| 1205216355 | Rasha Kazi | Pediatrics | 3901 Beaubien, Detroit, MI 48201-2119 | 2015-06-04 |
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| 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 |
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| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073935383 | Courtney Elyse Fezzey | Nurse Practitioner | 3200 E Lafayette St, Detroit, MI 48207-3812 | 2014-01-07 |
| 1053650291 | Michelle Mcnaughton | Nurse Practitioner | 5301 Beaubien Street, Detroit, MI 48201 | 2013-02-07 |
| 1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
| 1104301910 | Kacee Anne Harris-jones | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2018-09-27 |
| 1144731621 | Erica Danielle Curtis | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2017-10-23 |
| 1922492750 | Megan Worley | Nurse Practitioner | 3901 Beaubien St, 2nd Fl Carls Bldg, Detroit, MI 48201-2119 | 2015-03-18 |
| 1154664753 | Kenneth James Early | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2013-04-02 |
| 1477875045 | Cortney Lynn Mazur | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-02-23 |
| 1306168323 | Lauren Michele Kelm | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-02-17 |
| 1710143730 | Kristen Leigh Richards | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-07-29 |
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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.