Active NPI
Thameenah Z Faheem
- General Practice Registered Nurse
- Canton, OH
National Provider Identifier
1407641228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN.544070
- Practice address
- 609 Rosemont CT NW
Canton, OH 44708-4453 - Phone
- (919) 455-8778
- NPI assigned
- Apr 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN.544070 | OH | |
| Home Health Registered Nurse | 163WH0200X | RN.544070 | OH | |
| Hospice Registered Nurse | 163WH1000X | RN.544070 | OH | |
| Case Management Registered Nurse | 163WC0400X | RN.544070 | OH | |
| General Practice Registered Nurse | 163WG0000X | RN.544070 | OH | Primary |
Addresses
Primary practice location
609 Rosemont CT NW
Canton, OH 44708-4453
Mailing address
609 Rosemont CT NW
Canton, OH 44708-4453
Phone (919) 455-8778
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.544070 | OH | MD | Hospice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1407641228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 ROSEMONT CT NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447084453",
"telephone_number": "919-455-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 ROSEMONT CT NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447084453",
"telephone_number": "919-455-8778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEEM",
"first_name": "THAMEENAH",
"middle_name": "Z",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-11",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OH",
"license": "RN.544070",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "RN.544070",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "OH",
"license": "RN.544070",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "OH",
"license": "RN.544070",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "OH",
"license": "RN.544070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
- Eye Surgical Center, LLC (The Institute for Refractive and Intraocular Surgery)
- Eyes on Stark Surgery Center, LLC (Vista Surgical Center)
- Erik Eyring, CRNA
- Carlos E. Fabre, M.D.
- Katherine Facaros, D.P.M
- Daniel C Fahl
- Nabil Fahmy, M.D.
- Lena Johanna Fajardo, PHARMD
- Rachel Evangeline Falce, MS, RDN, LD
- Falcon Healthcare, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.