Individual provider Active NPI

Laveetta Michelle Chatmon

  • Other Technician
  • Inkster, MI
National Provider Identifier
1912355165
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
401 Tobin Dr Apt 310
Inkster, MI 48141-1391
Phone
(313) 465-9554
NPI assigned
May 28, 2016
Last updated
May 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Primary

Addresses

Primary practice location

401 Tobin Dr Apt 310
Inkster, MI 48141-1391

Mailing address

401 Tobin Dr Apt 310
Inkster, MI 48141-1391
Phone (313) 465-9554

Other names 1

  • Ms. Laveetta Michelle Pearson Former 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": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1912355165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TOBIN DR APT 310",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411391",
            "telephone_number": "313-465-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TOBIN DR APT 310",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481411391",
            "telephone_number": "313-465-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMON",
        "first_name": "LAVEETTA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-28",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVEETTA",
            "last_name": "PEARSON",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Inkster, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; 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.