Active NPI
Nickole Nefititi Triplett
- Registered Nurse
- Warren, MI
National Provider Identifier
1376422212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704261477
- Practice address
- 12200 E 13 Mile Rd
Warren, MI 48093-3093 - Phone
- (586) 573-1810
- NPI assigned
- Aug 27, 2025
- Last updated
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704261477 | MI | Primary |
Addresses
Primary practice location
12200 E 13 Mile Rd
Warren, MI 48093-3093
Mailing address
27290 Devonshire St
Southfield, MI 48076-5637
Phone (313) 779-0018
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 |
|---|---|---|---|
| 4704261477 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judson Center, Inc. | Past | Accepting new patients | |
| Judson Center, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Royal Oak, MI
- NPI 1033264890
-
dba Judson Center Family Health Clinic
- Family Medicine Physician
- Warren, MI
- NPI 1396217600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1376422212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27290 DEVONSHIRE ST",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765637",
"telephone_number": "313-779-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 E 13 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480933093",
"telephone_number": "586-573-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPLETT",
"first_name": "NICKOLE",
"middle_name": "NEFITITI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704261477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
- Trinity Conituning Care Services (abbey living ctr)
- Trinity Continuing Care Services (abbey living center)
- Trinity Continuing Care Services (abbey living center)
- Trinity Continuing Care Services
- Triple-M Medical Inc (Triple M Solutions)
- Trishard P.C. (Michigan Therapy Institute)
- Archi Trivedi, MD
- Porfirio Trojillo, PT
- Marilee Renae Trombley, LLPC
- Jennifer Rita Trombly, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.