Johnetta Mathis, REGISTERED NURSE
NPI 1619564531 · Licensed Practical Nurse · Eastpointe, MI
Johnetta Mathis, REGISTERED NURSE is a Licensed Practical Nurse provider in Eastpointe, MI (NPI 1619564531).
Provider details
- NPI number
- 1619564531
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- No
- License
- 4704427375 (MI)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2020-12-26
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Johnetta Mathis's NPI number?
- Johnetta Mathis's National Provider Identifier (NPI) is 1619564531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnetta Mathis's specialty?
- Johnetta Mathis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Johnetta Mathis located?
- Johnetta Mathis's practice location on file with NPPES is 16743 Lincoln Ave, Eastpointe, MI 48021-3029.
- What is Johnetta Mathis's phone number?
- The practice phone number listed in the NPPES registry for Johnetta Mathis is (313) 477-7366.
- Is Johnetta Mathis's NPI active?
- Yes — Johnetta Mathis's NPI (1619564531) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.