Individual provider Active NPI

Tabatha Jane Cronander, FNP-C

  • Family Nurse Practitioner
  • Bingham Farms, MI
National Provider Identifier
1851874499
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704296886 Issued in MI
Practice address
31700 Telegraph Rd Ste 230
Bingham Farms, MI 48025-3466
Phone
(248) 587-8267
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704296886 MI
Family Nurse Practitioner 363LF0000X 4704296886 MI Primary

Addresses

Primary practice location

31700 Telegraph Rd Ste 230
Bingham Farms, MI 48025-3466

Mailing address

5970 Stonehaven Blvd
Rochester, MI 48306-4942
Phone (586) 612-1637

Other practice location 1

1455 S Lapeer Rd Ste 102
Lake Orion, MI 48360
Phone (248) 232-0100

Other practice location 2

1135 W University Dr Ste 425
Rochester, MI 48307-1897
Phone (248) 650-5861

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314000118 MI Practitioner - Nurse Practitioner 0840530663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704296886MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Physiatry PLLC Family CurrentSince Nov 15, 2023 Accepting new patients
Skye Michigan PLLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

128 S East St
Unit 1109
Crown Point, IN 46308

31700 Telegraph Rd
Ste 230
Bingham Farms, MI 48025
Phone (248) 587-8267

2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900

2520 Lake Michigan Dr NW
Grand Rapids, MI 49504
Phone (616) 735-4541

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.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1851874499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 STONEHAVEN BLVD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483064942",
            "telephone_number": "586-612-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 TELEGRAPH RD STE 230",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480253466",
            "telephone_number": "248-587-8267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 S Lapeer Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "48360",
            "country_code": "US",
            "telephone_number": "248-232-0100",
            "fax_number": "248-232-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 W University Dr Ste 425",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483071897",
            "country_code": "US",
            "telephone_number": "248-650-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONANDER",
        "first_name": "TABATHA",
        "middle_name": "JANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704296886",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704296886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.