LA'SHON THEDFORD (NPI# 1750787164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750787164 |
| Entity Type | Individual |
| Full Name | LA'SHON THEDFORD |
| Credential | LPN |
| Practice Address |
62 Northbound Gratiot Ave Mount Clemens MI 48043-2310 |
| Practice Telephone | 5864688983 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 4703104399 | MI | Nursing Service Providers |
| Street Address |
62 NORTHBOUND GRATIOT AVE |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1619583549 | Renee Michelle Farr | Licensed Vocational Nurse | 3900 Loftus Rd, Freeport, MI 49325-9452 | 2020-09-16 |
| 1285299495 | Nathaniel Paul Jr. | Licensed Vocational Nurse | 18109 Marx St, Detroit, MI 48203-5401 | 2019-05-02 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1932508231 | Natasha Gennings | Licensed Vocational Nurse | 20491 Norwood St, Detroit, MI 48234-1825 | 2014-08-22 |
| 1689095093 | Mabell Omoye Scott | Licensed Vocational Nurse | 724 Owl Court, Wolverine Lake, MI 48390 | 2014-01-02 |
| 1881838944 | Thomeka T Heags | Licensed Vocational Nurse | 21816 Lakeshire St # 806081, Saint Clair Shores, MI 48081-2862 | 2009-04-20 |
| 1417582412 | Kyra Mcadory | Licensed Vocational Nurse | 17333 Stricker Ave, Eastpointe, MI 48021-3103 | 2020-03-10 |
| 1083185466 | Amanda Blakeslee | Licensed Vocational Nurse | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2018-12-11 |
| 1164990255 | Sirita Lashawn Canty | Licensed Vocational Nurse | 1596 Rulane Dr, Lapeer, MI 48446-1364 | 2018-11-06 |
| 1376069682 | Autumn Lindsay | Licensed Vocational Nurse | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
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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.