AMICAH DESIRAY TOLBERT


Address: 17608 Gateway Cir, Southfield, MI 48075-4718
Phone: 2482389195

AMICAH DESIRAY TOLBERT (NPI# 1063972800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063972800
Entity Type Individual
Full Name AMICAH DESIRAY TOLBERT
Practice Address 17608 Gateway Cir
Southfield
MI 48075-4718
Practice Telephone 2482389195
Mailing Telephone 2482389195
Enumeration Date 2019-03-20
Last Update Date 2019-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 4703112807 MI Nursing Service Providers

Office Location

Street Address 17608 GATEWAY CIR
City SOUTHFIELD
State MI
Zip Code 48075-4718

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1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
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1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730789546 Lashonda S Noble Licensed Practical Nurse 21107 Lahser Rd, Southfield, MI 48033-4400 2020-10-30
1558990432 Lawanda D Gibson Licensed Practical Nurse 21415 Civic Center Dr Ste 302, Southfield, MI 48076-3954 2020-04-03
1376102434 Dajuan Fanning Licensed Practical Nurse 17072 New Hampshire Dr, Southfield, MI 48075-2972 2019-06-11
1306409404 Rochelle L Smith Licensed Practical Nurse 26748 Franklin Pointe Dr, Southfield, MI 48034-5626 2019-04-16
1396211884 Carolyn Burroughs Licensed Practical Nurse 26962 Franklin Rd Apt 131, Southfield, MI 48033-2437 2018-10-23
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1558863308 Taqayla Allie Licensed Practical Nurse 23870 Lawn Rd Apt 2104, Southfield, MI 48033-3138 2018-03-07
1003322637 Crystal Young-rowe Licensed Practical Nurse 19800 Saxton Ave, Southfield, MI 48075-7330 2017-12-19
1851807440 Jasmine Nelson Licensed Practical Nurse 25597 Ingleside Dr, Southfield, MI 48033-4842 2017-12-19
1811429244 Sandra Dee Wolfe Licensed Practical Nurse 21271 8 1/2 Mile Rd, Southfield, MI 48075-3876 2017-04-03
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Competitor

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City SOUTHFIELD
Zip Code 48075

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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