NICOLE RENE FREI (NPI# 1437260338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437260338 |
| Entity Type | Individual |
| Full Name | NICOLE RENE FREI |
| Credential | MD |
| Practice Address |
4936 W Clark Rd Ste 101 Ypsilanti MI 48197-0861 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7344343000 |
| Mailing Telephone | 7343270872 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301072613 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 50115091205 | UT | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 4301072613 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4936 W CLARK RD STE 101 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-0861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710967765 | Daniel George Mcmurtrie | Obstetrics & Gynecology | 4936 W Clark Rd, Suite 100 D, Ypsilanti, MI 48197-0861 | 2006-01-18 |
| 1699149880 | Adriana Benedetto Benedetto | Registered Nurse | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2015-11-25 |
| 1114310901 | Marissa Dasilva I | Nurse Practitioner | 4936 W Clark Rd, Ste 101, Ypsilanti, MI 48197-0861 | 2015-03-18 |
| 1629494497 | Katelyn Uitti | Social Worker | 4936 W Clark Rd, Suite 100, Ypsilanti, MI 48197-0861 | 2014-03-17 |
| 1518301068 | Casey Shih-jier Lwo | Pediatrics | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2013-04-25 |
| 1104114040 | Andrew Doherty | Obstetrics & Gynecology | 4936 W Clark Rd, Suite 100, Ypsilanti, MI 48197-0861 | 2011-07-13 |
| 1700173325 | Julie Ann Lazarus | Pediatrics | 4936 W Clark Rd, Ste 101, Ypsilanti, MI 48197-0861 | 2011-07-03 |
| 1386935575 | Christine Poisson | Obstetrics & Gynecology | 4936 W Clark Rd, Suite 100, Ypsilanti, MI 48197-0861 | 2011-04-22 |
| 1831413418 | Elizabeth A. Loomis | Nurse Practitioner | 4936 W Clark Rd, Suite 100, Ypsilanti, MI 48197-0861 | 2010-03-25 |
| 1407084411 | Rebecca Lynn Brown | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2009-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003256421 | Samuel Abebe | Pediatrics | 5593 Redbud Ct, Ypsilanti, MI 48197-6645 | 2013-06-29 |
| 1427140672 | Roy Rosen | Pediatrics | 4936 W. Clark Road, Suite 101, Ypsilanti, MI 48197 | 2006-09-28 |
| 1053416081 | Elizabeth Marjorie Stone | Pediatrics | 4936 West Clark Rd., Suite 101, Ypsilanti, MI 48197 | 2006-09-14 |
| 1154387116 | Kimberly Dawn Aiken | Pediatrics | 2900 Packard Rd, Ste 1, Ypsilanti, MI 48197-2061 | 2006-04-26 |
| 1629066535 | Marla C Mikelait | Pediatrics | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2005-10-13 |
| 1558364562 | David C Thorrez | Pediatrics | 2900 Packard Rd, Ste 1, Ypsilanti, MI 48197-2061 | 2005-05-23 |
| 1992228050 | Mercy Christian Health | Pediatrics | 2900 Packard Rd Ste 1, Ypsilanti, MI 48197-2061 | 2017-07-20 |
| 1508393976 | Kailyn Wiersma | Pediatrics | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2017-05-17 |
| 1487189148 | David T Sanford | Pediatrics | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2017-05-01 |
| 1467987164 | Alison Mackenzie Emmitt | Pediatrics | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2017-05-01 |
| Find all providers in YPSILANTI | ||||
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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.