Active NPI
Kalaiselvi Lakshmanan, OCCUPATIONAL THERAPY
- Health Educator
- Southfield, MI
National Provider Identifier
1679864219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 5202004941
- Practice address
- 22401 Foster Winter Dr
Southfield, MI 48075-3724 - Phone
- (248) 423-5100
- Fax
- (248) 423-5194
- NPI assigned
- May 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 5202004941 | MI | Primary |
Addresses
Primary practice location
22401 Foster Winter Dr
Southfield, MI 48075-3724
Mailing address
1010 Congress Dr
Troy, MI 48085-1383
Phone (248) 423-5100
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5202004941 | MI | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304208000000",
"number": "1679864219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 CONGRESS DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851383",
"telephone_number": "248-423-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22401 FOSTER WINTER DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753724",
"telephone_number": "248-423-5100",
"fax_number": "248-423-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKSHMANAN",
"first_name": "KALAISELVI",
"credential": "OCCUPATIONAL THERAPY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-01",
"last_updated": "2011-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MI",
"license": "5202004941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.