Active NPI
Lisa Mary Starkey, NP
- Cardiovascular Disease Physician
- Southfield, MI
National Provider Identifier
1528041084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4704146061
- Practice address
- 22250 Providence Dr
Ste #705
Southfield, MI 48075-6215 - Phone
- (248) 552-9858
- Fax
- (248) 552-9510
- NPI assigned
- Nov 29, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4704146061 | MI | Primary |
Addresses
Primary practice location
22250 Providence Dr
Ste #705
Southfield, MI 48075-6215
Mailing address
22250 Providence Dr
Ste #705
Southfield, MI 48075-6215
Phone (248) 552-9858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7597565 | Other | AETNA PIN | |
| 4648426 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1528041084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR",
"address_2": "STE #705",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756215",
"telephone_number": "248-552-9858",
"fax_number": "248-552-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR",
"address_2": "STE #705",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756215",
"telephone_number": "248-552-9858",
"fax_number": "248-552-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKEY",
"first_name": "LISA",
"middle_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4704146061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7597565",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4648426",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.