Individual provider Active NPI

Tamika Davis, NP

  • Adult Health Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1013456201
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704272126 Issued in MI
Practice address
32605 W 12 Mile Rd Ste 195
Farmington Hills, MI 48334-3390
Phone
(313) 306-2023
Fax
(888) 442-6976
NPI assigned
Feb 21, 2017
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704272126 MI Primary

Addresses

Primary practice location

32605 W 12 Mile Rd Ste 195
Farmington Hills, MI 48334-3390

Mailing address

7710 E Woodbridge Cir
Westland, MI 48185-6751

Other identifiers 1

IdentifierTypeStateIssuer
527474MedicaidAZ

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
I20251030002607 MI Order and Referring Only - Nurse Practitioner 7113274101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704272126MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Adult Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tamika.davis.1@16270.direct.athenahealth.com
  • Direct secure messaging: tamika.davis.1@27127.direct.athenahealth.com
  • Direct secure messaging: tdavis@landmarkhealth-direct.org
  • Direct secure messaging: tdavis723754@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1013456201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 E WOODBRIDGE CIR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 W 12 MILE RD STE 195",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343390",
            "telephone_number": "313-306-2023",
            "fax_number": "888-442-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TAMIKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704272126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527474",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.