VITA FONTANA (NPI# 1427664986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427664986 |
| Entity Type | Individual |
| Full Name | VITA FONTANA |
| Practice Address |
22341 W 8 Mile Rd Detroit MI 48219-1217 |
| Mailing Address |
18058 Player Dr Macomb MI 48042-1772 |
| Practice Telephone | 3134993630 |
| Mailing Telephone | 5862157192 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704299351 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
22341 W 8 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299435 | Woodland Urgent Care LLC | Internal Medicine | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2005-07-18 |
| 1669855136 | Extra Care Pharmacy Inc. | Pharmacy | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2015-07-02 |
| 1982928800 | Woodland Pharmacy Co | Pharmacy | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2010-03-22 |
| 1093952012 | Huey-fong Liang | Family Medicine | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2009-01-13 |
| 1104076595 | William C. Heath Md PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2008-09-23 |
| 1639347586 | Anne-mare Ice Md PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2008-02-13 |
| 1598947137 | Woodland Urgent Care LLC | Clinic/Center | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-12-05 |
| 1235324799 | Rose Pediatric PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-09-07 |
| 1609082247 | Janan Hawil | Family Medicine | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-05-14 |
| 1922140912 | Pediatric Staff Pllc | Specialist | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1639776164 | Jennifer N Fucile | Nurse Practitioner | 3800 Woodward Ave Apt 702, Detroit, MI 48201-1980 | 2020-10-07 |
| 1649880329 | Dedra Delane Ford | Nurse Practitioner | 18255 Birchcrest Dr, Detroit, MI 48221-2750 | 2020-08-06 |
| 1528695624 | Venvisor Health Michigan LLC | Nurse Practitioner | 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 | 2020-03-26 |
| 1558909978 | Ruxandra Maria Lazar | Nurse Practitioner | 5285 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2019-12-16 |
| 1376186460 | Fazila Mahmood Siddiqui | Nurse Practitioner | 22201 Moross Rd Bldg Suite380, Detroit, MI 48236-2169 | 2019-10-22 |
| 1205482692 | Ladawn Denise Kennedy | Nurse Practitioner | 16645 Ilene St, Detroit, MI 48221-3401 | 2019-08-13 |
| 1427600246 | Christina Neirinck | Nurse Practitioner | 2401 St Antoine St, Detroit, MI 48201 | 2019-07-11 |
| 1548821556 | Ty R Houston | Nurse Practitioner | 13100 Corbett St, Detroit, MI 48213-2081 | 2019-06-21 |
| 1235795451 | Nekisha Bailey | Nurse Practitioner | 7501 Parkland, Detroit, MI 48239-1079 | 2019-05-13 |
| Find all providers in DETROIT | ||||
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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.