Individual provider Active NPI

Letitia Antionette McDaniel, MAA

  • Home Health Aide
  • Sandy Springs, GA
National Provider Identifier
1790319366
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
10 Glenlake Pkwy Ste 130
Sandy Springs, GA 30328-3495
Phone
(770) 572-6757
Fax
(678) 222-3401
NPI assigned
Feb 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X GA Primary

Addresses

Primary practice location

10 Glenlake Pkwy Ste 130
Sandy Springs, GA 30328-3495

Mailing address

10 Glenlake Pkwy Ste 130
Sandy Springs, GA 30328-3495
Phone (678) 222-3419

Other names 1

  • Ms. Tia Antionette McDaniel 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

NPI Registry JSON

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1790319366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GLENLAKE PKWY STE 130",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283495",
            "telephone_number": "678-222-3419",
            "fax_number": "678-222-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GLENLAKE PKWY STE 130",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283495",
            "telephone_number": "770-572-6757",
            "fax_number": "678-222-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "LETITIA",
        "middle_name": "ANTIONETTE",
        "name_prefix": "Ms.",
        "credential": "MAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "MCDANIEL",
            "middle_name": "ANTIONETTE",
            "prefix": "MS.",
            "credential": "MAA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.