Individual provider Active NPI

Cleo Latoya Brown, RN

  • Critical Care Medicine Registered Nurse
  • West Bloomfield, MI
National Provider Identifier
1558093419
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
4704293479 Issued in MI
Practice address
5649 Aldingbrooke Triangle
West Bloomfield, MI 48322-1302
Phone
(248) 563-7266
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 4704293479 MI Primary

Addresses

Primary practice location

5649 Aldingbrooke Triangle
West Bloomfield, MI 48322-1302

Mailing address

5649 Aldingbrooke Triangle
West Bloomfield, MI 48322-1302

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clatoyab@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704293479MIMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1558093419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 ALDINGBROOKE TRIANGLE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 ALDINGBROOKE TRIANGLE",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221302",
            "telephone_number": "248-563-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CLEO",
        "middle_name": "LATOYA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704293479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clatoyab@outlook.com",
            "affiliation": "N",
            "address_1": "5649 Aldingbrooke Triangle",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483221302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.