IndividualActive
Sheronda Blackmon, LPN
NPI 1215540430 · Licensed Practical Nurse · Detroit, MI
Provider details
- NPI number
- 1215540430
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4703080391 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13929 Harper Ave.
Detroit, MI 48213
Phone: (313) 371-0055
Fax: (313) 469-7072
Street-level locationGet directions
Mailing address
13929 Harper Ave
Detroit, MI 48213-3672
Registry dates
- Enumerated
- 2020-08-27
- Last updated
- 2020-08-27
- Certified
- 2020-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.