Fundamental Healing, Inc
NPI 1083276547ActiveOrganization· Nurse Practitioner, Family· Southfield, MI
Nurse Practitioner, Family in Southfield, Michigan, registered in NPPES in July 2019. The authorized official on file is Gretchen Perry, FNP-BC, NP-C, Family Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083276547 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2019 |
| Last updated in NPPES | Jul 5, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinical Nurse Specialist, Holistic | 364SH1100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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