Lauren Elissa Taboh, N.P., R.N.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704259700 Issued in MI

Practice address

4569 Northridge CT
West Bloomfield, MI 48323-1397

Phone

(586) 204-6686

Fax

(248) 850-7142

NPI assigned

Dec 8, 2011

Last updated

Sep 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Wayne State University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Rehabilitation PhysiciansGroup PAC ID 4385824382, 11 clinicians

CH MSSP Services Mi PLLCGroup PAC ID 2961862800, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michigan Rehabilitation Physicians

  • Physical Medicine & Rehabilitation Physician
  • Detroit, MI
  • NPI 1215240502
  Medicare reassignment Care Compare group NPD
• CH MSSP Services Mi PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1609569169
  Medicare reassignment Care Compare group
• M Medical Mi PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1578377628
  Medicare reassignment NPD
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  Medicare reassignment NPD
• Rem Nation PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • West Branch, MI
  • NPI 1972962470
  Medicare reassignment NPD
• M Management Group LLC

  • Pulmonary Disease Physician
  • Landover, MD
  • NPI 1487215182

  MI

  Medicare reassignment NPD
• M Medical Mi PLLC

  • Pulmonary Disease Physician
  • Detroit, MI
  • NPI 1275401440
  NPD
• Michigan Healthcare Professionals PC

  dba Urology Specialist of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• M Management Group, LLC

  • Gastroenterology Physician
  • Landover, MD
  • NPI 1649134784
  NPD

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1093083743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE",
            "address_2": "SUITE 220",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720919",
            "telephone_number": "248-556-5582",
            "fax_number": "248-850-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4569 NORTHRIDGE CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231397",
            "telephone_number": "586-204-6686",
            "fax_number": "248-850-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOH",
        "first_name": "LAUREN",
        "middle_name": "ELISSA",
        "credential": "N.P., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704259700",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704259700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciandra Syms
• Synergy Health, PC
• Jane K Syriac, MD
• Julia R Szymanski, MOT, OTRL
• T Reid Kavieff DO PC (Center for Complementary Medicine)
• Jessica Marie Tacconelli, PA-C
• Shahid Tahir, PHYSICAL THERAPIST
• Priya Tamhane, PT
• Heidi Tankersley
• Mikayla Linsalata Tanner, LMSW

• Adult Health Nurse Practitioner in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.