Bushra Fadhil

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704319483 Issued in MI

Practice address

4851 E Pickard St Ste 2100
Mount Pleasant, MI 48858-2039

Phone

(989) 772-3009

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mymichigan Medical Center Clare

  • General Practice Physician
  • Clare, MI
  • NPI 1134394026
  NPD
• Mymichigan Medical Center Clare

  • Urgent Care Clinic/Center
  • Clare, MI
  • NPI 1225081862
  NPD

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1780226530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NIGHTINGALE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281530",
            "telephone_number": "313-434-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 E PICKARD ST STE 2100",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582039",
            "telephone_number": "989-772-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25354 Evergreen Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480751776",
            "country_code": "US",
            "telephone_number": "313-434-0422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FADHIL",
        "first_name": "BUSHRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704319483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Eyal, PSYD
• Christina Eyers, MA, ATC
• Alicia Lynn Faber
• Krista Kay Faber, LLMSW
• Gabriela Romero Fachting Salvador
• Shirley Holton Faleer, MA, LPC
• Lori Faley, MA, LPC, QMHP, CAADC
• Family Footcare of Mid-Michigan, P.C.
• Family Home Health Care Services Inc
• Family Home Health Care Services Mi LLC

• Nurse Practitioner in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.