SHERONDA LANETTA BLACKMON (NPI# 1215540430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215540430 |
| Entity Type | Individual |
| Full Name | SHERONDA LANETTA BLACKMON |
| Credential | LPN |
| Practice Address |
13929 Harper Ave. Detroit MI 48213 |
| Mailing Address |
13929 Harper Ave Detroit MI 48213-3672 |
| Practice Telephone | 3133710055 |
| Practice Fax Number | 3134697072 |
| Mailing Telephone | 3133710055 |
| Mailing Fax Number | 3134697072 |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703080391 | MI | Nursing Service Providers |
| Street Address |
13929 HARPER AVE. |
| City | DETROIT |
| State | MI |
| Zip Code | 48213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| 1225368301 | William W. Martin, Md PC | Clinic/Center | 5575 Conner, Suite 208, Detroit, MI 48213 | 2010-01-12 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1518585504 | Lesley Dixon | Licensed Practical Nurse | 16668 Freeland St, Detroit, MI 48235-4500 | 2020-07-07 |
| 1720607237 | Nakesta Richardson | Licensed Practical Nurse | 9994 Bramell, Detroit, MI 48239-1304 | 2020-04-14 |
| 1962021477 | Torie Shatita Taylor | Licensed Practical Nurse | 22556 W Mcnichols Rd, Detroit, MI 48219-3140 | 2020-04-14 |
| 1689203499 | Tiffany Nicole Pierce | Licensed Practical Nurse | 8145 Greenfield Rd, Detroit, MI 48228-2220 | 2020-04-03 |
| 1750917118 | Stephanie Renee Williams | Licensed Practical Nurse | 8919 Prest St, Detroit, MI 48228-2200 | 2020-03-18 |
| 1417581299 | Valerie Adeyemi | Licensed Practical Nurse | 16559 Sorrento St, Detroit, MI 48235-4209 | 2020-03-02 |
| 1386276228 | Vikita Franklin | Licensed Practical Nurse | 16575 Snowden St, Detroit, MI 48235-4274 | 2020-02-09 |
| 1033749387 | Lachelle Mylinda Garrett | Licensed Practical Nurse | 18060 Gruebner St, Detroit, MI 48234-3854 | 2020-01-24 |
| 1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
| Find all providers in DETROIT | ||||
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| 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.