Active NPI
Latyra S Murray
- Community Health Worker
- Southfield, MI
National Provider Identifier
1124661228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 24100 Southfield Rd Ste 102
Southfield, MI 48075-2850 - Phone
- (313) 627-0767
- NPI assigned
- Oct 21, 2019
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | Primary |
Addresses
Primary practice location
24100 Southfield Rd Ste 102
Southfield, MI 48075-2850
Mailing address
20900 Botsford Dr
Farmington Hills, MI 48336-5914
Phone (313) 627-0767
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Support Transportation Services LLC | Current | Accepting new patients | |
| Trinity Support Group Services LLC | Current | Accepting new patients |
Locations
24100 Southfield Rd
Ste 102
Southfield, MI 48075
Phone (313) 627-0767
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Southfield, MI
- NPI 1104466895
-
- Non-emergency Medical Transport (VAN)
- Southfield, MI
- NPI 1003587064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1124661228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20900 BOTSFORD DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365914",
"telephone_number": "313-627-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24100 SOUTHFIELD RD STE 102",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752850",
"telephone_number": "313-627-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "LATYRA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.