Active NPI
Melissa Laine Lakin, MSN, FNP-C
- Family Nurse Practitioner
- Shelby Township, MI
National Provider Identifier
1497248702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704289855
- Practice address
- 6970 22 Mile Rd
Shelby Township, MI 48317-2204 - Phone
- (248) 840-8748
- NPI assigned
- Jun 11, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704289855 | MI | Primary |
Addresses
Primary practice location
6970 22 Mile Rd
Shelby Township, MI 48317-2204
Mailing address
6970 22 Mile Rd
Shelby Township, MI 48317-2204
Phone (248) 840-8748
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704289855 | MI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1497248702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6970 22 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483172204",
"telephone_number": "248-840-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6970 22 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483172204",
"telephone_number": "248-840-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKIN",
"first_name": "MELISSA",
"middle_name": "LAINE",
"name_prefix": "Miss",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704289855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.