Individual provider Active NPI

Timanika A Dansby, FNP-BC

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1083016547
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704244811 Issued in MI
Practice address
18610 Fenkell St
Detroit, MI 48223-2378
Phone
(313) 723-6000
Fax
(313) 424-4058
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15279200 NJ
Family Nurse Practitioner 363LF0000X 4704244811 MI Primary
Family Nurse Practitioner 363LF0000X 0033034 OH
Family Nurse Practitioner 363LF0000X RN310130 GA

Addresses

Primary practice location

18610 Fenkell St
Detroit, MI 48223-2378

Mailing address

PO Box 746723
Atlanta, GA 30374-6723
Phone (312) 733-9730

Other practice location 1

17858 Berg Rd
Detroit, MI 48219-2232
Phone (313) 854-1978

Other practice location 2

1007 Summit Ave
Greensboro, NC 27405-7007
Phone (336) 200-7010

Other practice location 3

1825 Rockbridge Rd Ste 15B
Stone Mountain, GA 30087-3306
Phone (470) 444-3134

Other practice location 4

300 Quaker Ln # C2-4
Warwick, RI 02886-0159
Phone (401) 233-5051

Other practice location 5

3360 N Watkins St
Memphis, TN 38127-6432
Phone (901) 401-7150

Other practice location 6

10688 Lorain Ave
Cleveland, OH 44111-5411
Phone (216) 682-7703

Other practice location 7

3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607
Phone (215) 444-7472

Other practice location 8

1000 S Elmora Ave
Elizabeth, NJ 07202-3100
Phone (908) 737-5703

Other practice location 9

455 Sutter Ave
Brooklyn, NY 11212-8111
Phone (718) 765-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, NC, RI, PA, KY, SC, IN, OH, GA, NY, TN, VA, NJ14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20170518000514 MI Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20211106000212 IL Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20220217000675 NC Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20220614003179 RI Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20220706002494 PA Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20220817000897 KY Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20220909001049 SC Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20220921002263 IN Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20221128001102 OH Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20230111000190 GA Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20230224002468 NY Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20230303000436 TN Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20241202003714 VA Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization
I20260325003138 NJ Practitioner - Nurse Practitioner 5698061299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, shared by 3 NPIs, 154 clinicians
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians
Osh - Ri Physicians Group PCGroup PAC ID 5193051936, 32 clinicians
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians
Osh-VA Physicians Group PLLCGroup PAC ID 3274994470, 18 clinicians
Griffin Myers Medical PCGroup PAC ID 5294145017, 78 clinicians
Oak Street Health Physicians Group of Kentucky, PLLCGroup PAC ID 5991105330, 14 clinicians

Practice addresses (Care Compare)

1007 Summit Ave
Greensboro, NC 27405-7007
Phone (336) 200-7010

18610 Fenkell St
Detroit, MI 48223-2378
Phone (313) 723-6000

2240 E 53Rd St
Suite 1
Indianapolis, IN 46220-3479
Phone (317) 933-7047

2429 Harrison Ave
Cincinnati, OH 45211-7915
Phone (513) 452-7005

300 Quaker LN
Warwick, RI 02886-0159
Phone (401) 233-5051

3360 N Watkins St
Memphis, TN 38127-6432
Phone (901) 401-7150

3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484

3900 Hull St Rd
Richmond, VA 23224-1714
Phone (804) 292-7620

455 Sutter Ave
Brooklyn, NY 11212-8111
Phone (718) 765-6550

5246 Chamberlayne Rd
Richmond, VA 23227-2950
Phone (804) 913-7029

5743 Preston Hwy
Louisville, KY 40219-1305
Phone (502) 444-6008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN310130GAMDFamily Nurse Practitioner
26NJ15279200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Kentucky, PLLC Family CurrentSince Jun 29, 2022 Accepting new patients
Osh-VA Physicians Group PLLC CurrentSince Aug 29, 2024 Accepting new patients
Oak Street Health of New York Medical Group PC Family CurrentSince Nov 22, 2022 Accepting new patients
Osh-Mi Physicians Group PC Family CurrentSince Nov 12, 2021 Accepting new patients
Oak Street Health Physicians Group of South Carolina, LLC Family CurrentSince May 25, 2022 Accepting new patients
Osh - Ri Physicians Group, PC CurrentSince Apr 1, 2022 Accepting new patients
Osh - PA Physicians Group, PC Family CurrentSince May 20, 2022 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Jul 8, 2019 Accepting new patients
Oak Street Health of Georgia PC Family CurrentSince Oct 30, 2022 Accepting new patients
Osh-in Physicians Group, PC Family CurrentSince Jun 17, 2022 Accepting new patients
Osh-Oh Physicians Group PC CurrentSince Aug 17, 2022 Accepting new patients
Oak Street Health Physicians Group, PC Family CurrentSince Oct 25, 2021 Accepting new patients
Osh-Mi Physicians Group PC CurrentSince Jul 8, 2019 Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC PastSince Jul 17, 2022 Accepting new patients
Qcpi-Villagemd, PC PastSince Jul 1, 2022 Accepting new patients

Locations

1825 Rockbridge Rd
Ste 15B
Stone Mtn, GA 30087
Phone (470) 444-3134

1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

2240 E 53rd St
Ste B1
Indianapolis, IN 46220
Phone (317) 933-7047

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

5743 Preston Hwy
Louisville, KY 40219
Phone (502) 444-6008

18610 Fenkell St
Detroit, MI 48223
Phone (313) 723-6000

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

1007 Summit Ave
Greensboro, NC 27405
Phone (336) 200-7010

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

2429 Harrison Ave
Cincinnati, OH 45211
Phone (513) 452-7005

10688 Lorain Ave
Cleveland, OH 44111
Phone (216) 232-9807

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

3621 Aramingo Ave
Ste 5C
Philadelphia, PA 19134
Phone (215) 444-7472

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051

300 Quaker Ln
#C24
Warwick, RI 02886
Phone (401) 233-5051

6119 White Horse Rd
Ste 14
Greenville, SC 29611
Phone (864) 614-7001

3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603

5246 Chamberlayne Rd
Richmond, VA 23227
Phone (804) 913-7029

3900 Hull St Rd
Richmond, VA 23224
Phone (804) 292-7620

Interoperability endpoints

  • Direct secure messaging: tdansby628952@direct.hfhs.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1083016547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232378",
            "telephone_number": "313-723-6000",
            "fax_number": "313-424-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17858 Berg Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482192232",
            "country_code": "US",
            "telephone_number": "313-854-1978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274057007",
            "country_code": "US",
            "telephone_number": "336-200-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Rockbridge Rd Ste 15B",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873306",
            "country_code": "US",
            "telephone_number": "470-444-3134",
            "fax_number": "470-276-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Quaker Ln # C2-4",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028860159",
            "country_code": "US",
            "telephone_number": "401-233-5051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3360 N Watkins St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381276432",
            "country_code": "US",
            "telephone_number": "901-401-7150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10688 Lorain Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441115411",
            "country_code": "US",
            "telephone_number": "216-682-7703",
            "fax_number": "216-236-7768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3621 Aramingo Ave Ste 5C",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191344607",
            "country_code": "US",
            "telephone_number": "215-444-7472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 S Elmora Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072023100",
            "country_code": "US",
            "telephone_number": "908-737-5703",
            "fax_number": "908-325-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Sutter Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112128111",
            "country_code": "US",
            "telephone_number": "718-765-6550",
            "fax_number": "347-620-9739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANSBY",
        "first_name": "TIMANIKA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15279200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704244811",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0033034",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN310130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.