Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972330652 Individual Practitioner Female Practitioner

Ayanna Mathis

Licensed Practical Nurse • Canton, MI

Professional Overview & Biography Verified Profile Summary

Ayanna Mathis is a registered healthcare professional specializing in Licensed Practical Nurse in Canton, MI. Practice services are available at 40633 TAMARACK DR APT 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

40633 Tamarack Dr Apt 201

Canton, MI 481882839

Telephone 7344893190

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Canton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
96 Specialists

Practicing in Canton, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-17
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703130134

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2024

Registered at 40633 TAMARACK DR APT 201, CANTON, MI 481882839 (Tel: 7344893190)

📍
Updated Business Mailing Address September 17, 2024

Registered at 40633 TAMARACK DR APT 201, CANTON, MI 481882839

👤
Provider Name / Credentials Updated September 17, 2024

Recorded as AYANNA MATHIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2024

Licensed Practical Nurse (License #4703130134 in MI)

🟢
Initial NPI Registration & Enumeration September 17, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972330652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2024
Last Update: September 17, 2024
Sole Proprietor: No

Mailing Address

40633 Tamarack Dr Apt 201

Canton, MI 481882839

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.