Individual provider Active NPI

Stephanie Kay Lafever, PA-C

  • Medical Physician Assistant
  • Livonia, MI
National Provider Identifier
1902181282
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006211 Issued in MI
Practice address
37799 Professional Center Dr
Suite 105
Livonia, MI 48154-1153
Phone
(734) 464-3368
NPI assigned
Oct 18, 2011
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601006211 MI Primary

Addresses

Primary practice location

37799 Professional Center Dr
Suite 105
Livonia, MI 48154-1153

Mailing address

110 Ohio St
Ypsilanti, MI 48198-7820
Phone (507) 236-3207

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
I20120316000709 MI Practitioner - Physician Assistant 1355500901 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital CurrentSince Nov 12, 2011 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Nov 12, 2011 Accepting new patients

Locations

37799 Professional Center Dr
Ste 105
Livonia, MI 48154
Phone (248) 878-3171

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

Interoperability endpoints

  • Direct secure messaging: slafever1135605@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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1902181282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OHIO ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481987820",
            "telephone_number": "507-236-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37799 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 105",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541153",
            "telephone_number": "734-464-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFEVER",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.