Active NPI
Jennifer Syeda, NP
- Nurse Practitioner
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704361751
- Practice address
- 4400 Highland Rd Ste 200
Waterford, MI 48328-1222 - Phone
- (248) 618-6000
- NPI assigned
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704361751 | MI | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 4704361751 | MI |
Addresses
Primary practice location
4400 Highland Rd Ste 200
Waterford, MI 48328-1222
Mailing address
24 Frank Lloyd Wright Dr # J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other practice location 1
624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone (248) 629-7497
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone (248) 629-7497
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hazel Park Primary Care LLC | Current | Accepting new patients | |
| Dearborn Pain Center PLLC | Current | Accepting new patients |
Locations
624 E 9 Mile Rd
Ste B
Hazel Park, MI 48030
Phone (248) 629-7497
624 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 268-2566
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Hazel Park, MI
- NPI 1174995203
-
- Family Medicine Physician
- Hazel Park, MI
- NPI 1306407440
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1245936012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR # J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 HIGHLAND RD STE 200",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281222",
"telephone_number": "248-618-6000"
}
],
"practiceLocations": [
{
"address_1": "624 E 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Hazel Park",
"state": "MI",
"postal_code": "480301842",
"country_code": "US",
"telephone_number": "248-629-7497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYEDA",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-03",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704361751",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704361751",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.