Active NPI
Latrina A Harris, IBCLC
- Doula
- Farmington Hills, MI
National Provider Identifier
1053178400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 25064 Independence Dr Apt 13301
Farmington Hills, MI 48335-1786 - Phone
- (586) 354-3988
- NPI assigned
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | ||
| Lactation Consultant (Non-RN) | 174N00000X | L-312606 | MI | |
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
25064 Independence Dr Apt 13301
Farmington Hills, MI 48335-1786
Mailing address
25064 Independence Dr Apt 13301
Farmington Hills, MI 48335-1786
Phone (586) 354-3988
Other names 1
- Latrina Conley
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-312606 | MI | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1053178400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25064 INDEPENDENCE DR APT 13301",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483351786",
"telephone_number": "586-354-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25064 INDEPENDENCE DR APT 13301",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483351786",
"telephone_number": "586-354-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LATRINA",
"middle_name": "A",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "MI",
"license": "L-312606",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LATRINA",
"last_name": "CONLEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.