Individual provider Active NPI

Latoyia Shuford

  • Driver
  • Chicago, IL
National Provider Identifier
1851025969
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
S16353683643 Issued in IL
Practice address
6433 S Hermitage Ave
Chicago, IL 60636-2705
Phone
(312) 718-2264
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X S16353683643 IL Primary

Addresses

Primary practice location

6433 S Hermitage Ave
Chicago, IL 60636-2705

Mailing address

6433 S Hermitage Ave
Chicago, IL 60636-2705
Phone (312) 718-2264

Other practice location 1

3610 W 86th Pl
Chicago, IL 60652-3718
Phone (312) 718-2264

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
S16353683643ILMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1851025969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 S HERMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362705",
            "telephone_number": "312-718-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 S HERMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362705",
            "telephone_number": "312-718-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 W 86th Pl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606523718",
            "country_code": "US",
            "telephone_number": "312-718-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUFORD",
        "first_name": "LATOYIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IL",
            "license": "S16353683643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.