Individual provider Active NPI

Lakeeya K Tucker, DO

  • Obstetrics & Gynecology Physician
  • East Lansing, MI
National Provider Identifier
1902873151
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
LT014020 Issued in MI
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1006153OtherMIMCLAREN PROVIDER #
5330320OtherMIBCBS/BCN PROVIDER #
4387080MedicaidMI
0700261OtherMIPHP PROVIDER #
0770041OtherMIPHP FAMILY CARE PROVIDER
P00150117OtherMIRR MEDICARE PROVIDER #

Other names 1

  • Lakeeya K Dotson Tucker Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305001029 MI Practitioner - Obstetrics/Gynecology 9739077363 Reassigns benefits to 2 organizations

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
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

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

LicenseStateTypeSpecialty
LT014020MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Mar 29, 2010 Accepting new patients
Edward W. Sparrow Hospital Association Obstetrics & Gynecology CurrentSince Mar 29, 2010 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Oct 1, 2022 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
University of Michigan Health-Sparrow Specialty HospitalLansing, MI, CCN 232037 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow EatonCharlotte, MI, CCN 231327 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health - WestWyoming, MI, CCN 230236 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow IoniaIonia, MI, CCN 231331 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-SparrowLansing, MI, CCN 23T230 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow St. LawrenceLansing, MI, CCN 23S230 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-SparrowSaint Johns, MI, CCN 23Z326 Hospital Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Carson Primary CareCarson City, MI, CCN 233994 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow IoniaIonia, MI, CCN 238550 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-SparrowGreenville, MI, CCN 233996 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Ithaca Primary CareIthaca, MI, CCN 238517 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Portland Primary CarePortland, MI, CCN 238631 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Saranac Primary CareSaranac, MI, CCN 238698 Rural health clinic Corporate Officer Jul 1, 2025
University of Michigan Health-Sparrow Carson OB/GYNCarson City, MI, CCN 238706 Rural health clinic Corporate Officer Jul 1, 2025

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

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": "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

Verify at the official NPI Registry.