Active NPI
Vicki A Lyskawa, CRNA
- Certified Registered Nurse Anesthetist
- Southfield, MI
National Provider Identifier
1346299286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704108257
- Practice address
- 22401 Foster Winter Dr
Southfield, MI 48075-3724 - Phone
- (248) 423-5100
- NPI assigned
- May 8, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704108257 | MI | Primary |
Addresses
Primary practice location
22401 Foster Winter Dr
Southfield, MI 48075-3724
Mailing address
22713 Shadowglen Dr
Farmington Hills, MI 48335-3655
Phone (248) 474-5504
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704108257 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Straith Hospital for Special Surgery | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346299286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22713 SHADOWGLEN DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483353655",
"telephone_number": "248-474-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22401 FOSTER WINTER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753724",
"telephone_number": "248-423-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYSKAWA",
"first_name": "VICKI",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704108257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.