Individual provider Active NPI

Cereste Duprat-Fabre

  • Family Nurse Practitioner
  • Ypsilanti, MI
National Provider Identifier
1104294107
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704227760 Issued in MI
Practice address
8831 Tamarack LN
Ypsilanti, MI 48197-9664
Phone
(269) 369-3423
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704227760 MI Primary

Addresses

Primary practice location

8831 Tamarack LN
Ypsilanti, MI 48197-9664

Mailing address

8831 Tamarack LN
Ypsilanti, MI 48197-9664
Phone (269) 369-3423

Other names 1

  • Cereste Duprat Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109001636 MI Practitioner - Nurse Practitioner 0648640623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nrmi, LLC CurrentSince Sep 22, 2022 Accepting new patients

Locations

313 Congress St
Boston, MA 02210

5570 Whittaker Rd
Ypsilanti, MI 48197
Phone (517) 263-5810

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1104294107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 TAMARACK LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979664",
            "telephone_number": "269-369-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 TAMARACK LN",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979664",
            "telephone_number": "269-369-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRAT-FABRE",
        "first_name": "CERESTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704227760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CERESTE",
            "last_name": "DUPRAT",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.