Active NPI
Lakeith Charlene Womack, GNA/CNA
- Nurse's Aide
- Sturgis, MI
National Provider Identifier
1114758026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A00064726
- Practice address
- 215 Broadus Street
Sturgis, MI 49091 - Phone
- (877) 659-4500
- Fax
- (888) 972-3891
- NPI assigned
- Aug 12, 2024
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A00064726 | MD | Primary |
Addresses
Primary practice location
215 Broadus Street
Sturgis, MI 49091
Mailing address
1649 W St SE Apt T1
Washington, DC 20020-8114
Phone (202) 749-0747
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 |
|---|---|---|---|
| A00064726 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1114758026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 W ST SE APT T1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200208114",
"telephone_number": "202-749-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 BROADUS STREET",
"city": "STURGIS",
"state": "MI",
"postal_code": "49091",
"telephone_number": "877-659-4500",
"fax_number": "888-972-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "LAKEITH",
"middle_name": "CHARLENE",
"credential": "GNA/CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00064726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sturgis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.