Active NPI
Shalonda M Cokley
- Prosthetist
- Detroit, MI
National Provider Identifier
1679146161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 18530 Fleming St
Detroit, MI 48234-1309 - Phone
- (313) 986-0643
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
18530 Fleming St
Detroit, MI 48234-1309
Mailing address
18530 Fleming St
Detroit, MI 48234-1309
Phone (313) 986-0643
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1679146161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18530 FLEMING ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341309",
"telephone_number": "313-986-0643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18530 FLEMING ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341309",
"telephone_number": "313-986-0643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKLEY",
"first_name": "SHALONDA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.