Latesa Renae Thomas, C.N.A

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

230109450998 Issued in MI

Practice address

11611 Grayton St
Detroit, MI 48224-1643

Phone

(313) 556-4769

Fax

(313) 473-8192

NPI assigned

Feb 24, 2019

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 names 1

• Latesa Renae Engram Former name

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": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1639636855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 GRAYTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241643",
            "telephone_number": "313-556-4769",
            "fax_number": "313-473-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 GRAYTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241643",
            "telephone_number": "313-556-4769",
            "fax_number": "313-473-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LATESA",
        "middle_name": "RENAE",
        "credential": "C.N.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MI",
            "license": "230109450998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATESA",
            "last_name": "ENGRAM",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kejuanna Thomas
• Kia S Thomas
• Kim Thomas
• Kristi Andrette Thomas, DDS
• Ladonna Joann Thomas
• Latonya Thomas
• Leah Thomas
• Linda Denise Thomas, LMSW
• Linda Medina Thomas
• Lizzie Thomas

• Adult Companion in Detroit, MI
• Providers in Detroit, MI by specialty
• Adult Companion in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.