Department of Veteran Affairs

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

DEPARTMENT OF VETERAN AFFAIRS

Practice address

4646 John R St
Detroit, MI 48201-1916

Phone

(313) 576-1000

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Takiyah McPherson, RN

Title

Clinical Nurse Manger

Phone

(313) 576-1000

Specialties & licenses 1

Addresses

Other names 1

• United States Government Other name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• John D. Dingell Vamc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1104227719
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Alphonso Drew LPN, LPN

  • Licensed Practical Nurse
  • Detroit, MI
  • NPI 1104549971
  NPD

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1730802455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "TAKIYAH",
        "authorized_official_title_or_position": "CLINICAL NURSE MANGER",
        "authorized_official_telephone_number": "313-576-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United States Government",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "United States Government",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abhinav Deol, MD
• Bibban Bant Kaur Deol, M.D.
• Deon D Middlebrook M D PC
• Kanika Deora
• Ralph Hechanova Depakakibo, RN
• Eve Depascale
• Gabrielle Samantha Depaul, M.A., BCBA
• Dependable & Reliable Residential Services Inc
• Dependable Loving Care LLC
• Alexandra Deporre

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.