Individual provider Active NPI

Christine Delks, LPN

  • Licensed Practical Nurse
  • Detroit, MI
National Provider Identifier
1649366402
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703090607 Issued in MI
Practice address
850 Whitmore Rd
401
Detroit, MI 48203-4048
Phone
(313) 739-4239
Fax
(313) 842-9608
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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 4703090607 MI Primary

Addresses

Primary practice location

850 Whitmore Rd
401
Detroit, MI 48203-4048

Mailing address

16183 Princeton St
Detroit, MI 48221-3141
Phone (313) 739-4239

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
4703090607MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1649366402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16183 PRINCETON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213141",
            "telephone_number": "313-739-4239",
            "fax_number": "313-864-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WHITMORE RD",
            "address_2": "401",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482034048",
            "telephone_number": "313-739-4239",
            "fax_number": "313-842-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELKS",
        "first_name": "CHRISTINE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703090607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.