Latoreya Denise Till

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

230010426730205 Issued in MI

Practice address

16935 Edloytom Way Apt 346
Clinton Township, MI 48038-5459

Phone

(313) 819-6069

NPI assigned

Dec 13, 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

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1497523013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16935 EDLOYTOM WAY APT 346",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 EDLOYTOM WAY APT 346",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385459",
            "telephone_number": "313-819-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILL",
        "first_name": "LATOREYA",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "230010426730205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Thorp, LLMSW
• Anula Thuruthikkara, RPH
• Francesca Marie Tiberio, DO
• Sofia Alexandria Tiberio, DO
• Kristi Lee Tietz
• Latavea Tillman, BEHAVIOR TECHNICIAN
• Carli Timm
• Taylor M Timoteo
• Lisa Titus-Corbat
• Tiva Associates, LLC

• Nurse's Aide in Clinton Township, MI
• Providers in Clinton Township, 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 Dec 13, 2023; 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.