Oliver Leatherman, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

4704297245 Issued in MI

Practice address

61 Clairmount St
Detroit, MI 48202-1589

Phone

(313) 484-5888

Fax

(313) 749-9141

NPI assigned

Jul 1, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Molly Lagrou Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1235056268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 FIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482141755",
            "telephone_number": "517-648-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CLAIRMOUNT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021589",
            "telephone_number": "313-484-5888",
            "fax_number": "313-749-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "OLIVER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704297245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "LAGROU",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Leader, RN
• Carlos T League
• Ralphael Leak
• Uniqua Sade Leak
• Manisha Leary
• Stacy L. Leatherwood, M.D.
• Kashae Leaverson
• David A Leavitt
• Rachel Lechelt
• Jodi Lecuyer, PHARM.D.

• Community Health Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Community Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.