Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619564531 Individual Practitioner Female Practitioner

Johnetta Mathis , REGISTERED NURSE

Licensed Practical Nurse • Eastpointe, MI

Professional Overview & Biography Verified Profile Summary

Johnetta Mathis, REGISTERED NURSE is a registered healthcare professional specializing in Licensed Practical Nurse in Eastpointe, MI. Practice services are available at 16743 LINCOLN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16743 Lincoln Ave

Eastpointe, MI 480213029

Telephone 3134777366
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Eastpointe, MI

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

Practicing in Eastpointe, 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: 2025-07-15
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703121100

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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MI 4704427375

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated July 15, 2025

Recorded as JOHNETTA MATHIS, REGISTERED NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2025

Registered Nurse (License #4704427375 in MI)

NPI Profile Active December 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2020

Registered at 16743 LINCOLN AVE, EASTPOINTE, MI 480213029 (Tel: 3134777366)

📍
Updated Business Mailing Address December 26, 2020

Registered at 16743 LINCOLN AVE, EASTPOINTE, MI 480213029 (Tel: 3134777366)

👤
Provider Name / Credentials Updated December 26, 2020

Recorded as JOHNETTA MATHIS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2020

Licensed Practical Nurse (License #4703121100 in MI)

🟢
Initial NPI Registration & Enumeration December 26, 2020

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: 1619564531
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2020
Last Update: July 15, 2025
Sole Proprietor: No

Mailing Address

16743 Lincoln Ave

Eastpointe, MI 480213029

Phone: 3134777366

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.