Individual provider Active NPI

Latanya Monford

  • Nurse's Aide
  • Canton, OH
National Provider Identifier
1770165144
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
324867510208 Issued in OH
Practice address
2501 14TH St NE
Canton, OH 44705-1935
Phone
(330) 605-1183
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 324867510208 OH Primary
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

2501 14TH St NE
Canton, OH 44705-1935

Mailing address

2501 14TH St NE
Canton, OH 44705-1935
Phone (330) 605-1183

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Canton

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
324867510208OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1770165144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 14TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447051935",
            "telephone_number": "330-605-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 14TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447051935",
            "telephone_number": "330-605-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFORD",
        "first_name": "LATANYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "324867510208",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Canton",
            "affiliation": "N",
            "address_1": "2501 14th St NE",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447051935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

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

Verify at the official NPI Registry.