Individual provider Active NPI

Alexis Lykins, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Novi, MI
National Provider Identifier
1154982346
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704368516 Issued in MI
Practice address
24110 Meadowbrook Rd Ste 105
Novi, MI 48375-3406
Phone
(734) 386-6527
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 080450-21 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 080450-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704368516 MI Primary

Addresses

Primary practice location

24110 Meadowbrook Rd Ste 105
Novi, MI 48375-3406

Mailing address

24110 Meadowbrook Rd Ste 105
Novi, MI 48375-3406
Phone (734) 386-6527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
080450-21NHMDPsychiatric/Mental Health Registered Nurse
4704368516MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexis Lykins LLC Psychiatric/Mental Health Current Accepting new patients
Wellspring Therapeutic Partners, LLC PastSince Apr 2, 2018 Accepting new patients

Locations

29532 Southfield Rd
Ste 115
Southfield, MI 48076
Phone (248) 382-8984

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1154982346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24110 MEADOWBROOK RD STE 105",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753406",
            "telephone_number": "734-386-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24110 MEADOWBROOK RD STE 105",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753406",
            "telephone_number": "734-386-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKINS",
        "first_name": "ALEXIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NH",
            "license": "080450-21",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "080450-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704368516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.