Deloris Mitchuson Lakia, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

10446 Issued in OH

Practice address

3000 Arlington Ave
Ruppert Health Center Endocrinology
Toledo, OH 43614-2595

Phone

(419) 383-6612

Fax

(419) 383-3336

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Deloris Mitchuson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1306088398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "address_2": "UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE MAILSTOP 1186",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-6858",
            "fax_number": "419-383-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "address_2": "RUPPERT HEALTH CENTER ENDOCRINOLOGY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-6612",
            "fax_number": "419-383-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIA",
        "first_name": "DELORIS",
        "middle_name": "MITCHUSON",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "170371",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "10446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELORIS",
            "last_name": "MITCHUSON",
            "prefix": "MISS",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julia Lake, LPCC
• Karen Lake
• Malia Faith Lake, DO
• Norma Lake, CNP
• Rev-Lynn Lashawn Lake
• Ryan Oertell Lakin, M.D.
• Jacob Lalonde
• Miragea Lamb
• Sharon K Lamb, NP
• Alyssa Lambert

• Adult Health Nurse Practitioner in Toledo, OH
• Providers in Toledo, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.