Individual provider Active NPI

Erica Sanks, RN

  • Community Health Registered Nurse
  • Oak Park, MI
National Provider Identifier
1497037709
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
4704272542 Issued in MI
Practice address
23000 Kenosha St
Oak Park, MI 48237-2432
Phone
(248) 225-9192
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 4704272542 MI Primary

Addresses

Primary practice location

23000 Kenosha St
Oak Park, MI 48237-2432

Mailing address

23000 Kenosha St
Oak Park, MI 48237-2432
Phone (248) 225-9192

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704272542MIMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eden at Home LLC Current Accepting new patients
Principal Home Healthcare LLC Dba Timely Home Healthcare LLC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1497037709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 KENOSHA ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372432",
            "telephone_number": "248-225-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23000 KENOSHA ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372432",
            "telephone_number": "248-225-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKS",
        "first_name": "ERICA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704272542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.