Latoya Danielle Brown, AGPCNP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Holt, MI
NPI 1871186429 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1871186429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 4704297656 (MI)
- Practice address
- 5091 Willoughby Rd
Holt, MI 48842-1054 - Phone
- (517) 694-2144
- Fax
- (517) 694-7469
- NPI assigned
- Feb 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Msu Health Care Inc.
Practice addresses (Care Compare)
5091 Willoughby Rd
Msu Health Care Geriatrics
Holt, MI 48842-1054
Phone (517) 694-2144
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210720000259 | MI | Practitioner - Nurse Practitioner | 2567865223 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc | Current |
Accepting new patients | |
| Msu Health Care Inc. | Current |
Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| Msu Health Care Inc. | Past | Accepting new patients |
Locations
4000 N Michigan Rd
Dimondale, MI 48821
Phone (517) 646-6258
4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
5091 Willoughby Rd
Holt, MI 48842
Phone (517) 694-2144
3860 Dobie Rd
Okemos, MI 48864
Phone (517) 349-1050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704297656 | MI | Yes |
Addresses
Primary practice location
5091 Willoughby Rd
Holt, MI 48842-1054
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 694-2144
Other practice location 1
4000 N Michigan Rd
Dimondale, MI 48821-9744
Phone (517) 646-6258
Other providers in Holt, MI
- Lisa Bower
- Lindsay Marie Brandt
- Trula Marie Bristow
- Aeria Celeste Brown
- Dorothy Brown
- Rebeccah Mae Burns
- By Dawn'S Early Light Home Care Srrvice'S Inc.
- Payton Ann Calder
- Jordan Carlson
- Cassandra Lynn Chapman
All providers in Holt, MI · Adult Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.