LORETTA KING (NPI# 1689182032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689182032 |
| Entity Type | Individual |
| Full Name | LORETTA KING |
| Practice Address |
17321 Telegraph Rd Detroit MI 48219-3132 |
| Mailing Address |
16801 Glenmore Redford MI 48240-2702 |
| Practice Telephone | 3135312500 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
4704276794 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023401015 | Loretta King | Licensed Practical Nurse | 3115 25th St Se, Canton, OH 44707-2021 | 2015-03-14 |
| 1043410665 | Loretta King | Nurse Practitioner | 2505 Fannin St, Houston, TX 77002-9115 | 2007-07-21 |
| 1649778184 | Loretta L King | Social Worker | 315 E Clinton St, Hobbs, NM 88240-8238 | 2018-01-30 |
| Street Address |
17321 TELEGRAPH RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477607216 | Khalea Dorionne Foy | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2007-01-22 |
| 1770180473 | Matthew David Block | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2020-10-06 |
| 1942807839 | Victoria Heilmann | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2020-10-05 |
| 1750998738 | Mckinzie Lin Pittelkow | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2020-09-24 |
| 1013524099 | Tamika D Merriman | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2020-09-24 |
| 1063026565 | Ashley Watkins | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2020-09-02 |
| 1598386484 | Thomastine Williamson Ureh | Technician | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2020-05-01 |
| 1750911913 | Lauren Elaine White | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2020-01-16 |
| 1518507367 | Kierra Danielle Gray | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2020-01-09 |
| 1932747458 | Hannah Leah Cohen Veenstra | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327821 | Samara Bibi | Registered Nurse | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2020-02-07 |
| 1508306994 | Candice Elizabeth Betke | Registered Nurse | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2017-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397095 | Abbi Michelle Kill | Registered Nurse | 967 E Brickley Ave, Hazel Park, MI 48030-1223 | 2019-10-15 |
| 1427514066 | Kenyatta Antoinette Stephens | Registered Nurse | 34369 Ramble Hills Dr, Farmington Hills, MI 48331-4227 | 2019-02-19 |
| 1841721032 | Alfreda Smith | Registered Nurse | 29255 Laurel Woods Dr. Apt103, Southfield, MI 48034 | 2017-03-21 |
| 1891915989 | Cynthia Lynn Blair | Registered Nurse | 125 E Southern Avenue, Muskegon, MI 49442 | 2007-04-30 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1235207556 | Maureen Elaine Kassof | Registered Nurse | 5859 Cedar Ridge Dr, Ann Arbor, MI 48103-8790 | 2006-12-04 |
| 1265528756 | Kathleen Rosemarie Bender | Registered Nurse | 33101 Annapolis St Ste B, Wayne, MI 48184-2405 | 2006-10-04 |
| 1013538834 | Melissa Margo Black | Registered Nurse | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-05-04 |
| 1790322865 | Stephanie Lynn Brady | Registered Nurse | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2019-12-07 |
| 1477194041 | June Ann Votta | Registered Nurse | 1200 N Telegraph Rd Bldg 32, Pontiac, MI 48341-1032 | 2019-10-03 |
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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.