KATRENA EDMONDSON (NPI# 1265988083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265988083 |
| Entity Type | Individual |
| Full Name | KATRENA EDMONDSON |
| Practice Address |
26663 W. Carriage Park Dr Southfield MI 48034 |
| Practice Telephone | 2487303427 |
| Mailing Telephone | 2487303427 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703111918 | MI | Nursing Service Providers |
| Street Address |
26663 W. CARRIAGE PARK DR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789546 | Lashonda S Noble | Licensed Practical Nurse | 21107 Lahser Rd, Southfield, MI 48033-4400 | 2020-10-30 |
| 1558990432 | Lawanda D Gibson | Licensed Practical Nurse | 21415 Civic Center Dr Ste 302, Southfield, MI 48076-3954 | 2020-04-03 |
| 1376102434 | Dajuan Fanning | Licensed Practical Nurse | 17072 New Hampshire Dr, Southfield, MI 48075-2972 | 2019-06-11 |
| 1306409404 | Rochelle L Smith | Licensed Practical Nurse | 26748 Franklin Pointe Dr, Southfield, MI 48034-5626 | 2019-04-16 |
| 1063972800 | Amicah Desiray Tolbert | Licensed Practical Nurse | 17608 Gateway Cir, Southfield, MI 48075-4718 | 2019-03-20 |
| 1396211884 | Carolyn Burroughs | Licensed Practical Nurse | 26962 Franklin Rd Apt 131, Southfield, MI 48033-2437 | 2018-10-23 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1558863308 | Taqayla Allie | Licensed Practical Nurse | 23870 Lawn Rd Apt 2104, Southfield, MI 48033-3138 | 2018-03-07 |
| 1003322637 | Crystal Young-rowe | Licensed Practical Nurse | 19800 Saxton Ave, Southfield, MI 48075-7330 | 2017-12-19 |
| 1851807440 | Jasmine Nelson | Licensed Practical Nurse | 25597 Ingleside Dr, Southfield, MI 48033-4842 | 2017-12-19 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on KATRENA EDMONDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.