Active NPI
Farrah Thwainey
- Registered Dietitian
- Novi, MI
National Provider Identifier
1700396868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86011804
- Practice address
- 30880 Beck Rd
Novi, MI 48377-1000 - Phone
- (248) 926-0009
- NPI assigned
- Oct 3, 2017
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86011804 | MI | Primary |
Addresses
Primary practice location
30880 Beck Rd
Novi, MI 48377-1000
Mailing address
2016 Harbor Village Ave
Keego Harbor, MI 48320-1374
Other practice location 1
7106 Park Ave
Allen Park, MI 48101-2038
Phone (313) 383-8310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86011804 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Family Care PLLC | Current | Accepting new patients | |
| S Park-Davis Healthcare | Past | Accepting new patients | |
| Toni Ballitch Trate DO PC | Past | Accepting new patients | |
| Dr. J. Thwainey MD PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/13300/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Farmington Hills, MI
- NPI 1841000361
-
- Internal Medicine Physician
- Allen Park, MI
- NPI 1962694661
-
dba Comprehensive Integrated Health Care
- Internal Medicine Physician
- Novi, MI
- NPI 1649631813
-
- General Practice Physician
- Farmington Hills, MI
- NPI 1932396538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1700396868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 HARBOR VILLAGE AVE",
"city": "KEEGO HARBOR",
"state": "MI",
"postal_code": "483201374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30880 BECK RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483771000",
"telephone_number": "248-926-0009"
}
],
"practiceLocations": [
{
"address_1": "7106 Park Ave",
"address_purpose": "LOCATION",
"city": "Allen Park",
"state": "MI",
"postal_code": "481012038",
"country_code": "US",
"telephone_number": "313-383-8310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THWAINEY",
"first_name": "FARRAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86011804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.