Individual provider Active NPI

Lakisha Franklin

  • Gerontology Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1588315758
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704291802 Issued in MI
Practice address
19170 Fenelon St
Detroit, MI 48234-2223
Phone
(313) 893-8229
NPI assigned
Jan 10, 2022
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704291802 MI Primary

Addresses

Primary practice location

19170 Fenelon St
Detroit, MI 48234-2223

Mailing address

24281 Eastwood Village Dr Apt 201
Clinton Township, MI 48035-5808
Phone (313) 319-6328

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220808001895 MI Practitioner - Nurse Practitioner 6103208178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seasons Medical Group of Michigan PCGroup PAC ID 4587819743, 11 clinicians

Practice addresses (Care Compare)

27355 John R Rd
Madison Heights, MI 48071-3300
Phone (248) 291-2698

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jun 21, 2022 Accepting new patients
University Physician Group CurrentSince Jan 12, 2024 Accepting new patients
Theoria Medical CurrentSince Aug 19, 2024 Accepting new patients
Seasons Medical Group of Michigan, PC CurrentSince Jun 10, 2025 Accepting new patients
University Physician Group Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

14900 Middlebelt Rd
Livonia, MI 48154
Phone (734) 425-4200

27355 John R Rd
Madison Hts, MI 48071
Phone (248) 291-2698

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1588315758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24281 EASTWOOD VILLAGE DR APT 201",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480355808",
            "telephone_number": "313-319-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19170 FENELON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342223",
            "telephone_number": "313-893-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "LAKISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704291802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.