MS. LACRETIA FISHER (NPI# 1346631470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346631470 |
| Entity Type | Individual |
| Full Name | MS. LACRETIA FISHER |
| Other Name | LUCRETIA FISHER |
| Credential | PMHNP |
| Practice Address |
3901 Chrysler Service Dr Tolan Park Detroit MI 48201-2167 |
| Mailing Address |
1560 E Maple Rd Suite 400-credentialing Department Troy MI 48083-1138 |
| Practice Telephone | 3139933434 |
| Practice Fax Number | 3139933421 |
| Mailing Telephone | 3139933434 |
| Mailing Fax Number | 3139933421 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704281509 | MI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704281509 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3434247 | 05 |
| Street Address |
3901 CHRYSLER SERVICE DR TOLAN PARK |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821036989 | Gary Lyn Rhodes | Psychologist | 3901 Chrysler Service Dr, Detroit, MI 48201-2167 | 2006-06-02 |
| 1629634878 | Shameer Mehdikhan | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Detroit, MI 48201 | 2019-05-14 |
| 1992239560 | Sandra Helena Reyes | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Suite 5-a, Detroit, MI 48201 | 2017-04-20 |
| 1639603269 | Justin Gray | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Detroit, MI 48201 | 2017-04-20 |
| 1316470347 | Tyler Joseph William Hecht | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Suite 5-a, Detroit, MI 48201 | 2017-04-06 |
| 1568822963 | Manisha Leary | Social Worker | 3901 Chrysler Service Dr, Detroit, MI 48201-2167 | 2016-02-26 |
| 1932596731 | Takako Benn | Psychiatry & Neurology | 3901 Chrysler Service Dr, Suite 5-a, 538.4, Detroit, MI 48201 | 2015-04-20 |
| 1285950212 | Lydia C Ditirro | Psychiatry & Neurology | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2010-04-15 |
| 1720257207 | Walter Otto Siegl | Social Worker | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2008-02-28 |
| 1376742056 | David M Ledgerwood | Psychologist | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2007-07-13 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1821180274 | Carla J Groh | Nurse Practitioner | 5555 Conner, Suite 2691, Detroit, MI 48213 | 2006-09-29 |
| 1124054408 | Patricia Frances Yourchock Orr | Nurse Practitioner | 4464 Burton St, Upper Unit, Detroit, MI 48210-2402 | 2006-06-25 |
| 1720619091 | Sunshine Mental Health Care | Nurse Practitioner | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2020-01-27 |
| 1720621535 | Rebecca Anne Hibbs | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-10-24 |
| 1659895134 | Infinity Hope Center | Nurse Practitioner | 277 Gratiot Ave Ste 100a8919, Detroit, MI 48226-2239 | 2017-07-27 |
| 1942685607 | Eddia Marie Mcdade | Nurse Practitioner | 10 Peterboro St, Detroit, MI 48201-2722 | 2015-07-23 |
| 1043698475 | Karen Ann Wezner | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2015-05-18 |
| 1285023226 | Lauren Krist | Nurse Practitioner | 22151 Moross Rd, Detroit, MI 48236-2167 | 2015-01-14 |
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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.