Letisha Davis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703128281 Issued in MI

Practice address

12208 Pinehurst LN
Grand Blanc, MI 48439-2633

Phone

(810) 877-4992

NPI assigned

Jun 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lasting Love Homecare Services LLC

  • Nursing Care Agency
  • Grand Blanc, MI
  • NPI 1396439808
  NPD Authorized official

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1245924760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12208 PINEHURST LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392633",
            "telephone_number": "810-877-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12208 PINEHURST LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392633",
            "telephone_number": "810-877-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LETISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703128281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Davis, DPT
• Jamarea Davis
• Jewel Davis
• Lara M Davis, P.A.
• Leah R Davis, OT
• Narondi Davis
• Sequoia Davis
• Davison Medical Practice PLC
• Frank A Dawe, DDS
• Gail Dawson, MD

• Licensed Practical Nurse in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.