Laura A Pfeiffer, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704195855 Issued in MI

Practice address

5716 Michigan Ave
Detroit, MI 48210-3039

Phone

(313) 554-1095

Fax

(313) 899-3560

NPI assigned

Oct 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Community Care, Inc.Group PAC ID 1254393549, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: laura.pfeiffer.1@19800.direct.athenahealth.com
• Direct secure messaging: lpfeiffer857377@direct.hfhs.org

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.

• Covenant Community Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1720134943
  Medicare reassignment Care Compare group
• Covenant Community Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1558792937
  NPD (past)
• Covenant Community Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1689925075
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1285813824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482162200",
            "telephone_number": "313-554-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103039",
            "telephone_number": "313-554-1095",
            "fax_number": "313-899-3560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32932 Warren Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481853095",
            "country_code": "US",
            "telephone_number": "734-298-0202",
            "fax_number": "734-298-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704195855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4982747",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "5008601000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Pettway Jr., LLMSW
• Gwendolyn Lenette Pettway, LPC
• Nicole Theodora Pettway, LPN
• Sheena Petty
• Cynthia Pfeiffer, M.D.
• Jacqueline Marie Pflaum-Carlson, M.D.
• Derek Pflum, D.D.S.
• Megan E Pfromm, CRNA
• PG Orthopaedics, PLC
• Judy Ha Pham, MD

• Adult Health Nurse Practitioner in Detroit, MI
• Providers in Detroit, 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 May 18, 2022; 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.