Active NPI
Laketa Yvette Woods, C.N.A
- Nurse's Aide
- Highland Park, MI
National Provider Identifier
1992824627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 230190710797
- Practice address
- 13220 Woodward Ave
Highland Park, MI 48203-3610 - Phone
- (313) 868-1946
- Fax
- (313) 852-1631
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 230190710797 | MI | Primary |
Addresses
Primary practice location
13220 Woodward Ave
Highland Park, MI 48203-3610
Mailing address
13220 Woodward
Highland Park, MI 48203
Phone (313) 869-8112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740313238 | Other | MI | CHRISTIAN GUIDANCE CENTER |
| 3022440 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 230190710797 | MI | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Rescue Mission Ministries | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Highland Park, MI
- NPI 1740313238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992824627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13220 WOODWARD",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "48203",
"telephone_number": "313-869-8112",
"fax_number": "313-852-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13220 WOODWARD AVE",
"city": "HIGHLAND PARK",
"state": "MI",
"postal_code": "482033610",
"telephone_number": "313-868-1946",
"fax_number": "313-852-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "LAKETA",
"middle_name": "YVETTE",
"credential": "C.N.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MI",
"license": "230190710797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHRISTIAN GUIDANCE CENTER",
"identifier": "1740313238",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3022440",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.