Tamekia Crook

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704294024 Issued in MI

Practice address

220 West Congress Street
2ND Floor PMB #304
Detroit, MI 48226

Phone

(313) 334-9042

NPI assigned

Jul 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Empowering Resilience

  • Psychiatric/Mental Health Nurse Practitioner
  • Macomb, MI
  • NPI 1174328439
  NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1649904749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48203 PRIMROSE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442354",
            "telephone_number": "313-334-9042",
            "fax_number": "202-890-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WEST CONGRESS STREET",
            "address_2": "2ND FLOOR PMB #304",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48226",
            "telephone_number": "313-334-9042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23077 Greenfield Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753745",
            "country_code": "US",
            "telephone_number": "248-281-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROOK",
        "first_name": "TAMEKIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704294024",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704294024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "23077 Greenfield Rd Ste 260",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480753745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carl Crockett, M.A
• Daniel Crockett, LMSW
• Shelly Cromerkennedy, RN
• Jordyn Elizabeth Cronin, OTRL
• Simon Michael Cronin, PHARM.D.
• Kaitlyn Jane Crooker, DO
• Kyle G Crooker, MD
• Antonio Deelstanando Crosby, LLMSW
• Cherie Crosby
• Courtney Marie Crosby, NP

• Psychiatric/Mental Health Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.