Individual provider Active NPI

Jeanette Faria, BS, RRT, RPFT, IHP2

  • Registered Respiratory Therapist
  • Birmingham, MI
National Provider Identifier
1053056382
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
4401004632 Issued in MI
Practice address
1047 Chester St
Birmingham, MI 48009-4105
Phone
(248) 686-6500
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 4401004632 MI Primary

Addresses

Primary practice location

1047 Chester St
Birmingham, MI 48009-4105

Mailing address

1047 Chester St
Birmingham, MI 48009-4105
Phone (248) 686-6500

Other identifiers 1

IdentifierTypeStateIssuer
4401004632OtherMIREGISTERED RESPIRATORY THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://jeanettedaniellewellness.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
4401004632MIMDRegistered Respiratory Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1053056382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 CHESTER ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480094105",
            "telephone_number": "248-686-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 CHESTER ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480094105",
            "telephone_number": "248-686-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIA",
        "first_name": "JEANETTE",
        "credential": "BS, RRT, RPFT, IHP2",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "MI",
            "license": "4401004632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED RESPIRATORY THERAPIST",
            "identifier": "4401004632",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://jeanettedaniellewellness.com",
            "affiliation": "N",
            "address_1": "1047 Chester St",
            "city": "Birmingham",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480094105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.