Active NPI
Lakeeya K Tucker, DO
- Obstetrics & Gynecology Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- LT014020
- Practice address
- 1560 Turf Lane
East Lansing, MI 48823-6392 - Phone
- (517) 484-3000
- Fax
- (517) 484-6358
- NPI assigned
- Mar 7, 2006
- Last updated
- Oct 18, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | LT014020 | MI | Primary |
Addresses
Primary practice location
1560 Turf Lane
East Lansing, MI 48823-6392
Mailing address
1560 Turf Lane
East Lansing, MI 48823-6392
Phone (517) 484-3000
Other practice location 1
1100 S Cedar St
Mason, MI 48854-2086
Phone (517) 484-3000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006153 | Other | MI | MCLAREN PROVIDER # |
| 5330320 | Other | MI | BCBS/BCN PROVIDER # |
| 4387080 | Medicaid | MI | |
| 0700261 | Other | MI | PHP PROVIDER # |
| 0770041 | Other | MI | PHP FAMILY CARE PROVIDER |
| P00150117 | Other | MI | RR MEDICARE PROVIDER # |
Other names 1
- Lakeeya K Dotson Tucker
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1560 Turf LN
East Lansing, MI 48823-6392
Phone (517) 484-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT014020 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Obstetrics & Gynecology | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Uwh of Michigan PLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000
1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610
1322 E Michigan Ave
Ste 220
Lansing, MI 48912
Phone (517) 364-2570
1100 S Cedar St
Mason, MI 48854
Phone (517) 484-3000
46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200
Interoperability endpoints
- lakeeyatucker@aog.allscriptsdirect.net
Ownership & related parties
All facility ownership & control disclosures 14
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
Owned or controlled facilities with NPI records 17
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
Corporate Officer
-
dba University of Michigan Health-Sparrow
- Rehabilitation Hospital Unit
- Lansing, MI
- NPI 1477512424
Corporate Officer
-
dba University of Michigan Health-Sparrow St. Lawrence
- Psychiatric Hospital Unit
- Lansing, MI
- NPI 1669431292
Corporate Officer
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
Corporate Officer
-
dba University of Michigan Health-Sparrow
- Rural Health Clinic/Center
- Carson City, MI
- NPI 1013987833
Corporate Officer
-
dba University of Michigan Health-Sparrow
- Rural Health Clinic/Center
- Greenville, MI
- NPI 1689644403
Corporate Officer
-
dba University of Michigan Health-Sparrow
- Rural Health Clinic/Center
- Carson City, MI
- NPI 1699200550
Corporate Officer
-
dba University of Michigan Health-Sparrow
- Rural Health Clinic/Center
- Ithaca, MI
- NPI 1770553547
Corporate Officer
-
dba University of Michigan Health-Sparrow Clinton
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
Corporate Officer
-
dba University of Michigan Health-Sparrow Charlotte Orthopedics
- Orthopaedic Surgery Physician
- Charlotte, MI
- NPI 1043419427
Corporate Officer
-
dba University of Michigan Health-Sparrow
- Ambulance
- Charlotte, MI
- NPI 1093742249
Corporate Officer
-
dba University of Michigan Health-Sparrow Eaton
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
Corporate Officer
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.
-
- Obstetrics & Gynecology Physician
- East Lansing, MI
- NPI 1982352357
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
dba University of Michigan Health-Sparrow
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
dba Sparrow Women's Center
- Obstetrics & Gynecology Physician
- Lansing, MI
- NPI 1811943582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1902873151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 TURF LANE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236392",
"telephone_number": "517-484-3000",
"fax_number": "517-484-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 TURF LANE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236392",
"telephone_number": "517-484-3000",
"fax_number": "517-484-6358"
}
],
"practiceLocations": [
{
"address_1": "1100 S Cedar St",
"address_purpose": "LOCATION",
"city": "Mason",
"state": "MI",
"postal_code": "488542086",
"country_code": "US",
"telephone_number": "517-484-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "LAKEEYA",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "LT014020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN PROVIDER #",
"identifier": "1006153",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/BCN PROVIDER #",
"identifier": "5330320",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4387080",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP PROVIDER #",
"identifier": "0700261",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP FAMILY CARE PROVIDER",
"identifier": "0770041",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER #",
"identifier": "P00150117",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAKEEYA",
"last_name": "DOTSON TUCKER",
"middle_name": "K",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.