Sheletia Latrice McClendon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703125550 Issued in MI

Practice address

1043 Covington Dr
Detroit, MI 48203-4043

Phone

(512) 888-8834

NPI assigned

Aug 21, 2025

Last updated

Aug 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1003794777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 COVINGTON DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482034043",
            "telephone_number": "512-888-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 COVINGTON DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482034043",
            "telephone_number": "512-888-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "SHELETIA",
        "middle_name": "LATRICE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703125550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian McClatchey, LLMSW
• Luebertha McClellan
• Kortney Ione McClelland, DNP, PMHNP-BC
• Robert McClelland
• Erica Junice McClendon-Waters, REGISTERED NURSE
• Leslie McClenic
• Sandra McClennen, L.P.
• Diedra Lynn McClerkin
• Shelby Renee-Guillory McCliggott, MA, LPC, ACS
• Robert McClinnic, PEER SPECIALIST/AODA

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.