IndividualActive
Tyra Godfrey
NPI 1679434377 · Licensed Practical Nurse · Detroit, MI
Tyra Godfrey is a Licensed Practical Nurse provider in Detroit, MI (NPI 1679434377).
Provider details
- NPI number
- 1679434377
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4703128856 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Street-level locationGet directions
Mailing address
9198 Grayton St
Detroit, MI 48224-1923
Registry dates
- Enumerated
- 2025-11-21
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Frequently asked questions
- What is Tyra Godfrey's NPI number?
- Tyra Godfrey's National Provider Identifier (NPI) is 1679434377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyra Godfrey's specialty?
- Tyra Godfrey is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Tyra Godfrey located?
- Tyra Godfrey's practice location on file with NPPES is 4646 John R St, Detroit, MI 48201-1916.
- What is Tyra Godfrey's phone number?
- The practice phone number listed in the NPPES registry for Tyra Godfrey is (313) 576-1000.
- Is Tyra Godfrey's NPI active?
- Yes — Tyra Godfrey's NPI (1679434377) is active in the NPPES registry as of the last update on 2025-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.