Alisha Divonna Monea Camp, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703127438 Issued in MI

Practice address

15350 Park Village Blvd
Taylor, MI 48180-4879

Phone

(616) 490-3335

NPI assigned

Mar 16, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1962359109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 PARK VILLAGE BLVD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804879",
            "telephone_number": "616-490-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 PARK VILLAGE BLVD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804879",
            "telephone_number": "616-490-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "ALISHA",
        "middle_name": "DIVONNA MONEA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703127438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Buzzeo
• Angeline Bye, B.A.
• Amber Bywater
• Cabb Community Supports LLC
• Shana Mari Cacioppo, PSY. D, LLP
• An Vo Nhu Cao, MD
• Care Route Logistics
• Grace M Carela
• Caring Pediatrics 2
• Caroline Okonkowski DMD PC

• Licensed Practical Nurse in Taylor, MI
• Providers in Taylor, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.