SHIREEN FRADI (NPI# 1730553819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730553819 |
| Entity Type | Individual |
| Full Name | SHIREEN FRADI |
| Credential | NP |
| Practice Address |
33259 Dequindre Rd Troy MI 48083-4628 |
| Mailing Address |
4893 Creek Dr Sterling Heights MI 48314-3088 |
| Practice Telephone | 2485881885 |
| Practice Fax Number | 2489280617 |
| Mailing Telephone | 5865675677 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
4704283874 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
33259 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316164940 | Premier Visiting Nurse & Home Health Services, LLC | Home Health | 33259 Dequindre Rd, Suite B, Troy, MI 48083-4628 | 2007-04-18 |
| 1992198337 | Premier Hospice, LLC | Internal Medicine | 33259 Dequindre Rd, Suite C, Troy, MI 48083-4628 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033352265 | Mira Edgerton | Clinical Nurse Specialist | 4397 Stoneycroft Dr, Okemos, MI 48864-2935 | 2009-04-17 |
| 1417493065 | Jessica Mcdiarmid | Clinical Nurse Specialist | 1201 Flushing Rd, Flint, MI 48504 | 2017-01-06 |
| 1437609781 | Port Huron Internal Medicine | Clinical Nurse Specialist | 2540 16th St, Port Huron, MI 48060-6405 | 2016-10-11 |
| 1124445341 | Julie Brusca | Clinical Nurse Specialist | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2014-03-26 |
| 1033410451 | Cherrell Monik Shells | Clinical Nurse Specialist | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2010-11-17 |
| 1275840282 | Lisa L Ferguson | Clinical Nurse Specialist | 221 E Maple St, Carson City, MI 48811-0550 | 2010-09-13 |
| 1316252166 | Kermit Steven Day | Clinical Nurse Specialist | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2010-08-17 |
| 1376733972 | Aspirus Iron River Hospital & Clinics, Inc. | Clinical Nurse Specialist | 1400 W Ice Lake Rd, Iron River, MI 49935-9526 | 2007-07-30 |
Please comment or provide details below to improve the information on SHIREEN FRADI.
| 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.