Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Alexis Kalliantasis, RN

Individual provider General Practice Registered Nurse · NPI 1104486877

Lauren Alexis Kalliantasis, RN is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2019, 7 years ago. Practices with Henry Ford Macomb Hospital Corporation, a 339-clinician group. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704309721NSA190D3 (MI)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 4704309721 (MI)

Record details

NPI number1104486877
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 16, 2019
Last updated in NPPESOctober 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Henry Ford Macomb Hospital Corporation — 339 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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