Tykheema Keiara Price

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1841 N Perry St
Pontiac, MI 48340-2235

Phone

(248) 745-4900

NPI assigned

Jun 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tykheema Keiara Laster Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• CNS Healthcare

  • Psychiatry Physician
  • Novi, MI
  • NPI 1770538068
  NPD

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1124702816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 16 1/2 MILE RD APT 23",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121847",
            "telephone_number": "248-819-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402235",
            "telephone_number": "248-745-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TYKHEEMA",
        "middle_name": "KEIARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYKHEEMA",
            "last_name": "LASTER",
            "middle_name": "KEIARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Priyanka B Pradhan, MD
• Edward Gladston Pragasam
• Warren Rauss Pratt, RPH
• Preethi Premkumar, CGC
• Keyanna Price
• Prime Care PC
• Prime One Home Care LLC
• Prime One Home Health Care
• Robert Tyler Prince, MS, CGC
• Pro Dental Mi 1 PC

• Case Manager/Care Coordinator in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.