Active NPI
Charneil Donyell Dukes, NURSE PRACTITIONER
- Family Nurse Practitioner
- Detroit, MI
National Provider Identifier
1700345154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704269527
- Practice address
- 5301 Russell St
Detroit, MI 48211-2500 - Phone
- (313) 310-3885
- NPI assigned
- Mar 15, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704269527 | MI | Primary |
Addresses
Primary practice location
5301 Russell St
Detroit, MI 48211-2500
Mailing address
5301 Russell St
Detroit, MI 48211-2500
Phone (313) 310-3885
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1700345154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 RUSSELL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482112500",
"telephone_number": "313-310-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 RUSSELL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482112500",
"telephone_number": "313-310-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKES",
"first_name": "CHARNEIL",
"middle_name": "DONYELL",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704269527",
"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 Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.