Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Latoya Ellis

Individual provider Family Nurse Practitioner · NPI 1003465428

Mrs. Latoya Ellis is a Nurse Practitioner in Trenton, Michigan. Qualified in 2019, 7 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5452 Fort St Ste 200
Trenton, MI 48183-4638
Phone: (734) 642-2727
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 28080 Grand River Ave Ste 306n, Farmington Hills, MI 48336-5966 — (947) 521-8968

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704233922 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704233922 (MI)

Record details

NPI number1003465428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2019
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Trenton