Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEDA FARES NP
NPI 1659226595
Nurse Practitioner - Gerontology in Southgate, MI

Active since March 04, 2026
11275 ALLEN RD, SOUTHGATE, MI 48195(313) 383-7071 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 18, 2026, Jul 19, 2026, Mar 4, 2026 (3 updates tracked since 2026).

About Neda Fares Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEDA FARES NP (NPI 1659226595) is an individual gerontology provider in Southgate, Michigan, licensed in Michigan (4704311588) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1659226595
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNEDA FARESCredential: NP
Location Address11275 ALLEN RDSouthgate, MI 48195-3380
Mailing Address11275 Allen RdSouthgate, MI 48195-3380 · (313) 383-7071
Sole ProprietorNo
Enumeration DateMarch 4, 2026
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1659226595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704311588
11275 ALLEN RD, Southgate, MI 48195

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
11275 ALLEN RD
SOUTHGATE, MI 48195
Nurse Practitioner (Family)
11275 ALLEN RD
SOUTHGATE, MI 48195
Nurse Practitioner (Family)
11275 ALLEN RD
SOUTHGATE, MI 48195
Nurse Practitioner (Family)
11275 ALLEN RD
SOUTHGATE, MI 48195
Family Medicine
11275 ALLEN RD
SOUTHGATE, MI 48195
Internal Medicine
11275 ALLEN RD
SOUTHGATE, MI 48195
Nurse Practitioner (Gerontology)
11275 ALLEN RD
SOUTHGATE, MI 48195
Family Medicine
11275 ALLEN RD
SOUTHGATE, MI 48195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neda Fares's NPI number?

The NPI number for Neda Fares is 1659226595. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Neda Fares located?

Neda Fares practices at 11275 Allen Rd, Southgate, MI 48195. The listed phone number is (313) 383-7071.

What is Neda Fares's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Neda Fares was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.