Joseph Dashawn Crain, LICENSED PRACTICAL N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703122482 Issued in MI

Practice address

21040 Garden LN.
Ferndale, MI 48220

Phone

(313) 782-5003

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1730811894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21040 GARDEN LN.",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "48220",
            "telephone_number": "313-782-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21040 GARDEN LN.",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "48220",
            "telephone_number": "313-782-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "JOSEPH",
        "middle_name": "DASHAWN",
        "name_prefix": "Mr.",
        "credential": "LICENSED PRACTICAL N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703122482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Cooper
• Jacob Cooper
• Luke Corder
• Howard E Crane, O.D.
• Alana Crawford
• Bridgette Crockett, MA LPC
• Chiqutta Crook, MSW, LMSW
• Alexa Laine Cunningham, PA-C

• Licensed Practical Nurse in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.