Lawanda Hicks Agbassi, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704163985 Issued in MI

Practice address

15357 Farmington Rd
Suite 2
Livonia, MI 48154-2863

Phone

(313) 282-4527

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• I & L Professional Medical Services

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1760409593
  Medicare reassignment NPD
• I&L Medical Group & Associates

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1457527582
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1083638993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8586 BUCKLAND DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15357 FARMINGTON RD",
            "address_2": "SUITE 2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542863",
            "telephone_number": "313-282-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBASSI",
        "first_name": "LAWANDA",
        "middle_name": "HICKS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704163985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Aun Afzal, AGACNP-BC
• Agape Acupuncture
• Agape'S Tree House Educational & Behavioral Service
• Gayle Lisa Agar, O.T.R.
• Innocent Egwuatu Agbassi, M.D.
• Agha Internal Medicine Associates PC
• Hooman Agha, M.D.
• Agility Home Health Care, Inc.
• Jessica Burtt Agius, C.N.M., F.N.P.
• Aahaan Kumar Agrawal

• Family Nurse Practitioner in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.