Patrice Coates

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

21841 Kenosha St
Oak Park, MI 48237-2651

Phone

(313) 218-2936

NPI assigned

Jun 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Black & White Look Optical Corp

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1366895005
  NPD Authorized official
• Patrice Coates

  • Home Health Agency
  • Detroit, MI
  • NPI 1851739965
  NPD Authorized official
• Gentle Touch Home Health Care

  • Home Health Agency
  • Detroit, MI
  • NPI 1497193510
  NPD (past) Authorized official
• Black and White Look Optical Corporation

  • Optometrist
  • Southfield, MI
  • NPI 1679660849
  NPD

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1962840124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21841 KENOSHA ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372651",
            "telephone_number": "313-218-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21841 KENOSHA ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372651",
            "telephone_number": "313-218-2936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21841 Kenosha St",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "MI",
            "postal_code": "482372651",
            "country_code": "US",
            "telephone_number": "313-218-2936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATES",
        "first_name": "PATRICE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962840124",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info.kustommade@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21841 Kenosha St",
            "city": "Oak Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482372651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shana Clark, RN
• Shanell Clark
• Amanda Clay
• Clear Choice Lab Solutions LLC
• Close Family Home Care, LLC
• Dracy Dejuan Colley
• Theresa Colvin, LPN
• Comfort and Care Transportation LLC
• Complete Physiotherapy
• Comprehensive Chiropractic Wellness

• Prosthetic/Orthotic Supplier in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.