Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVONTE LAMONT MEADOWS
NPI 1144130006
Licensed Practical Nurse in Detroit, MI

Q: What is Evonte Meadows's NPI number?

The NPI number for Evonte Meadows is 1144130006. It was assigned to this individual provider in the NPPES registry on September 11, 2026.

Q: What is Evonte Meadows's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Evonte Meadows was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2026

4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record added: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Evonte Lamont Meadows NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVONTE LAMONT MEADOWS (NPI 1144130006) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703121045) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1144130006

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameEVONTE LAMONT MEADOWS

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000

Phone(313) 576-1000

Sole ProprietorNo

Enumeration DateSeptember 11, 2026

NPPES CertifiedSeptember 11, 2026

✔ NPI 1144130006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703121045

Definition

A licensed practical nurse 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.

4646 JOHN R ST, Detroit, MI 48201

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program