Monica Amena Braxton, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703109635 Issued in MI

Practice address

3737 Lawton St
Detroit, MI 48208-2500

Phone

(313) 361-6136

Fax

(313) 361-6210

NPI assigned

Feb 16, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: monica.braxton@usc.salvationarmy.org

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1396490579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14620 WESTWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232298",
            "telephone_number": "313-949-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAWTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082500",
            "telephone_number": "313-361-6136",
            "fax_number": "313-361-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "MONICA",
        "middle_name": "AMENA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703109635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4703109635",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Monica.Braxton@usc.salvationarmy.org",
            "affiliation": "Y",
            "affiliationName": "The Salvation Army Harbor Light Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3737 Lawton St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482082500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claudia Bravo-Sanchez
• Guadalupe Bravo, CP
• Bridget Braxton
• Dana Braxton, PHARMD
• Kathy Andrea Braxton, RN
• Tia Lanise Braxton, LMSW
• Ryan Bray
• Maureen R Braziunas, CRNA
• Breakingcycles Foundation, Inc.
• Katherine Breckenridge, SLP

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, 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 Feb 16, 2022; 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.