Individual provider Active NPI

Dawn Laforest, NP

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1659885937
Registry record updated Nov 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17283081012 Issued in MI
Practice address
205 N East Ave
Jackson, MI 49201-1753
Phone
(517) 841-7329
NPI assigned
Nov 25, 2017
Last updated
Nov 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17283081012 MI Primary

Addresses

Primary practice location

205 N East Ave
Jackson, MI 49201-1753

Mailing address

24613 Brittany Ave
Eastpointe, MI 48021-3375

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
I20180123000931 MI Practitioner - Nurse Practitioner 0143589028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Right Health, PCGroup PAC ID 0244659092, 18 clinicians
Vedha Health Services PLLCGroup PAC ID 6103267802, 6 clinicians

Practice addresses (Care Compare)

1950 E Wattles Rd
Suite 110
Troy, MI 48085-5099
Phone (248) 453-9883

418 N Main St
Suite 200
Royal Oak, MI 48067-1813
Phone (248) 200-9240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17283081012MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Right Health PC Nurse Practitioner CurrentSince Jul 11, 2025 Accepting new patients
Right Health PC Nurse Practitioner CurrentSince Jul 11, 2025 Accepting new patients
Independent Emergency Physicians, P.C. CurrentSince Dec 27, 2017 Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

25500 Meadowbrook Rd
Ste 208
Novi, MI 48375
Phone (248) 200-9240

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

1950 E Wattles Rd
Ste 110
Troy, MI 48085
Phone (248) 453-9883

Interoperability endpoints

  • Direct secure messaging: dawn.laforest.1@31553.direct.athenahealth.com
  • Direct secure messaging: dlaforest@landmarkhealth-direct.org
  • Direct secure messaging: dlaforest505931@direct.hfhs.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511568000000",
    "number": "1659885937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24613 BRITTANY AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-841-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFOREST",
        "first_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-25",
        "last_updated": "2017-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "17283081012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.