Active NPI
Latasia Y Whitfield, CNA
- Personal Care Attendant
- Grand Rapids, MI
National Provider Identifier
1104328103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- MI000009171
- Practice address
- 1006 Griggs St SE
Grand Rapids, MI 49507-2702 - Phone
- (616) 617-9171
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | MI000009171 | MI | Primary |
Addresses
Primary practice location
1006 Griggs St SE
Grand Rapids, MI 49507-2702
Mailing address
1006 Griggs St SE
Grand Rapids, MI 49507-2702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
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 |
|---|---|---|---|
| MI000009171 | MI | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1104328103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 GRIGGS ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495072702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 GRIGGS ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495072702",
"telephone_number": "616-617-9171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITFIELD",
"first_name": "LATASIA",
"middle_name": "Y",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MI",
"license": "MI000009171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.