Active NPI
Cailin Lashawn McDaniel
- Primary Care Nurse Practitioner
- Southgate, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704327170
- Practice address
- 14799 Dix Toledo Rd
Southgate, MI 48195-2507 - Phone
- (313) 492-7114
- NPI assigned
- May 9, 2024
- Last updated
- May 31, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704327170 | MI | Primary |
| Registered Nurse | 163W00000X | 4704327170 | MI |
Addresses
Primary practice location
14799 Dix Toledo Rd
Southgate, MI 48195-2507
Mailing address
14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone (313) 492-7114
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29201 Telegraph Rd
Suite 200
Southfield, MI 48034-7645
Phone (248) 357-5000
4568 W Walton Blvd
Suite D
Waterford, MI 48329-4900
Phone (855) 466-3631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704327170 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitional Care Services, LLC | Current | Accepting new patients | |
| Team Mental Health Services Inc. | Current | Accepting new patients | |
| Healox Health PLLC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Team Wellness Center | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Lakeside Professional Counseling, P.C. | Past | Accepting new patients | |
| Team Mental Health Services Inc. | Past | Accepting new patients | |
| Wellbridge of Clarkston, LLC | Past | Accepting new patients |
Locations
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289
2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
4641 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 779-5299
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
29201 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 357-5000
14799 Dix Toledo Rd
Southgate, MI 48195
Phone (888) 813-8326
2585 Lafranier Rd
Traverse City, MI 49686
Phone (231) 947-9511
4568 W Walton Blvd
Ste D
Waterford Township, MI 48329
Phone (855) 466-3631
Organizations & group practices 10
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.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Southfield, MI
- NPI 1376159491
-
dba HomeMD Housecall Services
- Gerontology Nurse Practitioner
- Waterford, MI
- NPI 1174976807
-
- Internal Medicine Physician
- Novi, MI
- NPI 1457144933
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
-
- Community Health Clinic/Center
- Detroit, MI
- NPI 1588855100
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
dba Team Wellness Center
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1295324291
-
- Mental Health Counselor
- Shelby Township, MI
- NPI 1073084083
-
- Skilled Nursing Facility
- Independence Township, MI
- NPI 1669965299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1427806926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14799 DIX TOLEDO RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952507",
"telephone_number": "313-492-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14799 DIX TOLEDO RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952507",
"telephone_number": "313-492-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "CAILIN",
"middle_name": "LASHAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704327170",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704327170",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.