LANAH DERRICKSON (NPI# 1083051494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083051494 |
| Entity Type | Individual |
| Full Name | LANAH DERRICKSON |
| Practice Address |
41621 W 11 Mile Rd Novi MI 48375-1804 |
| Mailing Address |
20560 Greenview Ave Detroit MI 48219-1543 |
| Practice Telephone | 2482990030 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703111310 | MI | Nursing Service Providers |
| Street Address |
41621 W 11 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48375-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669721486 | Coralee Orlowski | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2012-09-07 |
| 1114328895 | Jenine Abusalah | Technician, Other | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2014-09-11 |
| 1376954636 | Semir Agic | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2014-05-08 |
| 1518384734 | Laquisha Towns | Registered Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2014-03-26 |
| 1982029294 | Christina Dobis | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2014-02-24 |
| 1629407564 | Clifford Johnson Jr. | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2013-11-01 |
| 1467889089 | Heidi West | Registered Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2013-09-27 |
| 1194152728 | Jennifer Dowling | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2013-09-27 |
| 1497180657 | Mallisa Cannon | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2013-09-06 |
| 1922433242 | Karen Olinik | Licensed Practical Nurse | 41621 W 11 Mile Rd, Novi, MI 48375-1804 | 2013-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306303797 | Jacklin Yakken Bahho | Licensed Practical Nurse | 29038 Hearthstone Dr, Novi, MI 48377-2724 | 2019-02-21 |
| 1790289130 | Artissha Jenkins-graves | Licensed Practical Nurse | 23861 Pheasant Run, Novi, MI 48375-3350 | 2018-03-21 |
| 1437650066 | Terri Asbell | Licensed Practical Nurse | 22771 Cleanwater Ct, Apt 201, Novi, MI 48375 | 2018-02-28 |
| 1689193195 | Yolanda D Piper | Licensed Practical Nurse | 41551 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-15 |
| 1952822603 | Lashsara Elizabeth Zachary | Licensed Practical Nurse | 41521 W. 11 Mi Rd, Novi, MI 48375-4837 | 2017-07-03 |
| 1518316801 | Rebecca Otis | Licensed Practical Nurse | 24321 Willow Ln, Novi, MI 48375-2861 | 2016-06-07 |
| 1639526304 | Ashley Buchan | Licensed Practical Nurse | 51200 Luke Ln, Novi, MI 48374-1004 | 2016-05-23 |
| 1346626611 | Charlette Legion-london | Licensed Practical Nurse | 41521 W 11 Mile Rd # Rf, Novi, MI 48375-1803 | 2015-08-10 |
| 1215319470 | Constance Brown | Licensed Practical Nurse | 23746 Chipmunk Trl, Novi, MI 48375-3333 | 2015-06-24 |
| 1215316203 | Amy Bancroft | Licensed Practical Nurse | 41521 W. 11 Mile, Novi, MI 48375 | 2015-05-22 |
| Find all providers in NOVI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.