Alivia Danielle Desenfants

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2679 Tackles Dr
White Lake, MI 48386-1562

Phone

(248) 860-4757

NPI assigned

Jun 2, 2025

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

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Amd Urgent Medical Care, PLLC

  • Urgent Care Clinic/Center
  • Clio, MI
  • NPI 1184968679
  Medicare reassignment

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1578456190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2679 TACKLES DR",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483861562",
            "telephone_number": "248-860-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 TACKLES DR",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483861562",
            "telephone_number": "248-860-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESENFANTS",
        "first_name": "ALIVIA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Daly
• David Leszkowitz DO PC
• David Leszkowitz DO PC
• Lori Davison, MA, LPC, NCC
• Dennison Consulting Services Inc
• Sava Diakantonis
• Bianca Sade' Doniver, PHARMD
• Gabrielle Rose Doss
• Rita Marie Doss I, MSHA, OTRL
• Cody Drees

• Physician Assistant in White Lake, MI
• Providers in White Lake, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.

Verify at the official NPI Registry.