Promind LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PROMIND LLC

Practice address

5234 Creekmonte Dr
Rochester, MI 48306-4794

Phone

(810) 882-1458

Fax

(754) 218-0872

NPI assigned

Sep 29, 2025

Last updated

Nov 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda FaresNPI 1417512302

Title

Owner

Phone

(810) 882-1458

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Fares, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lapeer, MI
  • NPI 1417512302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1235002734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461346",
            "telephone_number": "810-882-1458",
            "fax_number": "754-218-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5234 CREEKMONTE DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483064794",
            "telephone_number": "810-882-1458",
            "fax_number": "754-218-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "FARES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-882-1458"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Pradko, DO
• Precision Medicine PLLC
• Premiere Medical Diagnostic Equipment LLC
• Prime Home Help LLC
• Professional Dental Alliance of Rochester, PLLC
• Prospera Healthcare Michigan LLC
• Dheeraj Kumar Pulijala, PT
• William Anthony Purdy II, D.C.
• Milan Puscas
• Quest Home Healthcare LLC

• Nurse Practitioner in Rochester, MI
• Providers in Rochester, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.