Individual provider Active NPI

Latonya Grable

  • Licensed Practical Nurse
  • Detroit, MI
National Provider Identifier
1609256544
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703114057 Issued in MI
Practice address
13573 Appoline St
Detroit, MI 48227-3901
Phone
(313) 728-5622
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703114057 MI Primary

Addresses

Primary practice location

13573 Appoline St
Detroit, MI 48227-3901

Mailing address

13573 Appoline St
Detroit, MI 48227-3901
Phone (313) 728-5622

Other names 1

  • Latonya Grable Professional name

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

State licenses

LicenseStateTypeSpecialty
4703114057MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1609256544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13573 APPOLINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273901",
            "telephone_number": "313-728-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13573 APPOLINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273901",
            "telephone_number": "313-728-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABLE",
        "first_name": "LATONYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703114057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATONYA",
            "last_name": "GRABLE",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.