Individual provider Active NPI

Taylor Lockridge

  • Community Health Worker
  • Redford, MI
National Provider Identifier
1679465959
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
22206 W Warren Ave
Redford, MI 48239-1024
Phone
(313) 804-8635
NPI assigned
Jul 19, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

22206 W Warren Ave
Redford, MI 48239-1024

Mailing address

22430 Gratiot Ave Unit 227
Eastpointe, MI 48021-7011

Other practice location 1

18445 Cathedral St
Detroit, MI 48228-1899
Phone (313) 804-8635

Other practice location 2

23713 Joy Rd
Dearborn Heights, MI 48127-1408
Phone (313) 804-8635

Other practice location 3

8633 Southfield Fwy
Detroit, MI 48228-1975
Phone (313) 804-8635

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Warriors Community Health Worker CurrentSince Sep 14, 2025 Accepting new patients
Michigan Warriors Community Health Worker CurrentSince Jul 22, 2025 Accepting new patients

Locations

23713 Joy Rd
Dearborn Heights, MI 48127
Phone (313) 624-3400

8633 Southfield Fwy
Detroit, MI 48228
Phone (313) 296-1170

18445 Cathedral St
Detroit, MI 48228
Phone (313) 804-8635

22430 Gratiot Ave
Unit 227
Eastpointe, MI 48021

22206 W Warren Ave
Redford, MI 48239

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1679465959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22430 GRATIOT AVE UNIT 227",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480217011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22206 W WARREN AVE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391024",
            "telephone_number": "313-804-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18445 Cathedral St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482281899",
            "country_code": "US",
            "telephone_number": "313-804-8635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23713 Joy Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "481271408",
            "country_code": "US",
            "telephone_number": "313-804-8635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8633 Southfield Fwy",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482281975",
            "country_code": "US",
            "telephone_number": "313-804-8635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKRIDGE",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-07-19",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.