Individual provider Active NPI

Alexis Aminita Hicks-Reed, LPN

  • Licensed Practical Nurse
  • Taylor, MI
National Provider Identifier
1578933677
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703108844 Issued in MI
Practice address
20724 Eureka Rd
Taylor, MI 48180-5313
Phone
(734) 324-3134
NPI assigned
Oct 1, 2015
Last updated
Oct 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703108844 MI Primary

Addresses

Primary practice location

20724 Eureka Rd
Taylor, MI 48180-5313

Mailing address

28054 Van Dyke Ave
Warren, MI 48093-2843
Phone (313) 844-9849

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

State licenses

LicenseStateTypeSpecialty
4703108844MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1578933677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28054 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932843",
            "telephone_number": "313-844-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20724 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805313",
            "telephone_number": "734-324-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS-REED",
        "first_name": "ALEXIS",
        "middle_name": "AMINITA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703108844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.