Active NPI
Deedra Knowles
- Licensed Practical Nurse
- Royal Oak, MI
National Provider Identifier
1245174150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703110908
- Practice address
- 28000 Woodward Ave
Royal Oak, MI 48067-0960 - Phone
- (248) 395-3777
- Fax
- (248) 395-3370
- NPI assigned
- Apr 20, 2026
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703110908 | MI | Primary |
Addresses
Primary practice location
28000 Woodward Ave
Royal Oak, MI 48067-0960
Mailing address
28000 Woodward Ave
Royal Oak, MI 48067-0960
Phone (248) 395-3777
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703110908 | MI | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcall of Detroit | Past | Accepting new patients |
Organizations & group practices 1
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": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1245174150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28000 WOODWARD AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670960",
"telephone_number": "248-395-3777",
"fax_number": "248-395-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28000 WOODWARD AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670960",
"telephone_number": "248-395-3777",
"fax_number": "248-395-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "DEEDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703110908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.