Lawreese Deshan Smith, NURSE AIDE

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

MI000057051 Issued in MI

Practice address

16242 Manor St
Detroit, MI 48221-2859

Phone

(313) 982-2406

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heart of Love Home Care LLC

  dba Heart of Love Home Care

  • Home Health Agency
  • Detroit, MI
  • NPI 1588323919
  NPD Authorized official

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1336751833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16242 MANOR ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212859",
            "telephone_number": "313-982-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16242 MANOR ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212859",
            "telephone_number": "313-982-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAWREESE",
        "middle_name": "DESHAN",
        "name_prefix": "Ms.",
        "credential": "NURSE AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "MI000057051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84453581",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoi Smith, MSW
• Latoya Darchell Smith
• Lauren Smith
• Lauren Smith, OTR/L
• Lauren Smith
• Lisa A Smith
• Lisa Marie Smith, NP
• Lynda Louise Smith, FAODP, MA, MDIV
• Lynette R Smith
• Lynn Smith, LLMSW

• Nurse's Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.