Dequindra Elise Blakey, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704205118 Issued in MI

Practice address

17723 E. Warren
Detroit, MI 48224-2419

Phone

(734) 489-9863

Fax

(202) 470-6596

NPI assigned

May 10, 2016

Last updated

May 9, 2023By the provider in NPPES

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 names 1

• Miss Dequindra Elise Quinn Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dequinn@landmarkhealth-direct.org

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.

• A Ahmad MD PLC

  dba Primedical Care PLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1306313515
  Medicare reassignment NPD
• Laz Medical Group PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Southfield, MI
  • NPI 1053310128
  Medicare reassignment NPD
• Sylmara E. Chatman M.D. P.C.

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1831413749
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  Nurse Practitioner

  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Harmonycares Complete Health Services, PLLC

  dba HarmonyCares Health Services

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1093543902

  Nurse Practitioner

  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• A1 Optimum Health Logistics LLC

  • Nurse Practitioner
  • Ferndale, MI
  • NPI 1326645565
  NPD (past)
• Restoration Health Consulting

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1962959148
  NPD (past)
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1417303355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17723 E. WARREN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242419",
            "telephone_number": "734-489-9863",
            "fax_number": "202-470-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17723 E. WARREN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242419",
            "telephone_number": "734-489-9863",
            "fax_number": "202-470-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32605 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483343337",
            "country_code": "US",
            "telephone_number": "313-306-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKEY",
        "first_name": "DEQUINDRA",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704205118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEQUINDRA",
            "last_name": "QUINN",
            "middle_name": "ELISE",
            "prefix": "MISS",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stefanie Blake
• Torie Blake
• Vincent Blakely
• Nikeyla Blakeney
• Yvonne Blakes
• Katherine Joan Blakley
• Bianaca K Blalock
• Katrina Blanchard
• Laurie Blanchard
• Lauren Elise Blanchette, MD

• Family Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.