Active NPI
Lashay Ravon Surratt Sr.
- Home Health Aide
- Winston Salem, NC
National Provider Identifier
1023167616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 2000 Northcliffe Dr Apt 509
Winston Salem, NC 27106-3350 - Phone
- (336) 918-4975
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
2000 Northcliffe Dr Apt 509
Winston Salem, NC 27106-3350
Mailing address
2000 Northcliffe Dr Apt 509
Winston Salem, NC 27106-3350
Phone (336) 918-4975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023167616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NORTHCLIFFE DR APT 509",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063350",
"telephone_number": "336-918-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NORTHCLIFFE DR APT 509",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063350",
"telephone_number": "336-918-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURRATT",
"first_name": "LASHAY",
"middle_name": "RAVON",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.