Active NPI
Lauren Elise Waldowski
- Community Health Worker
- Livonia, MI
National Provider Identifier
1215415781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 33505 Schoolcraft Rd
Livonia, MI 48150-1630 - Phone
- (734) 721-0200
- NPI assigned
- Aug 6, 2018
- Last updated
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
33505 Schoolcraft Rd
Livonia, MI 48150-1630
Mailing address
323 Forest St
Westland, MI 48186-4509
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1215415781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 FOREST ST",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481864509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33505 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501630",
"telephone_number": "734-721-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDOWSKI",
"first_name": "LAUREN",
"middle_name": "ELISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
- Kara Elizabeth Wakefield, CPRM
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5844)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2631)
- Wal-Mart Stores East, LP (Vision Center 30-2631)
- Casey Waldeck, BCABA
- Walgreen Co (Walgreens #04298)
- Walgreen Co (Walgreens#06312)
- Walgreen Co (Walgreens #04933)
- Walgreen Co (Walgreens #12267)
- Walgreen Co (Walgreens #10359)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.