Active NPI
Nicole M Lape, P.A.
- Medical Physician Assistant
- Rochester Hills, MI
National Provider Identifier
1962525907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601003970
- Practice address
- 1701 South Blvd E
Suite 200
Rochester Hills, MI 48307-6122 - Phone
- (248) 997-5805
- Fax
- (248) 997-5811
- NPI assigned
- Apr 6, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601003970 | MI | Primary |
Addresses
Primary practice location
1701 South Blvd E
Suite 200
Rochester Hills, MI 48307-6122
Mailing address
1701 South Blvd E
Suite 200
Rochester Hills, MI 48307-6122
Phone (248) 997-5805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1652512780 | Other | MI | BCBSM |
Other names 1
- Nicole M Dawson-Lape
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003970 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Flint | Medical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1962525907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "SUITE 200",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076122",
"telephone_number": "248-997-5805",
"fax_number": "248-997-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"address_2": "SUITE 200",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076122",
"telephone_number": "248-997-5805",
"fax_number": "248-997-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPE",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601003970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "1652512780",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "DAWSON-LAPE",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.