SHANNON SCHWARTZ (NPI# 1164887675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164887675 |
| Entity Type | Individual |
| Full Name | SHANNON SCHWARTZ |
| Credential | CPNP |
| Practice Address |
4936 W Clark Rd Ste 101 Ypsilanti MI 48197-0861 |
| Mailing Address |
24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 7344343000 |
| Practice Fax Number | 7344348040 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704288185 | MI | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704288185 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346741220 | Shannon Elizabeth Schwartz | Dietitian, Registered | 3056 Princeton Ave, Philadelphia, PA 19149-1412 | 2018-02-26 |
| 1033689633 | Shannon Deanne Schwartz | Registered Nurse | 2360a Duck Creek Pkwy Ste 2, Green Bay, WI 54303-3377 | 2018-11-27 |
| 1376781229 | Shannon Marie Schwartz | Technician, Other | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2009-01-30 |
| Street Address |
4936 W CLARK RD STE 101 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-0861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255865994 | Erin Delbene Andrews | Pediatrics | 4936 W Clark Rd Ste 101, Ypsilanti, MI 48197-0861 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760899595 | Kathryn A Fenton | Nurse Practitioner | 2900 Packard Rd Ste 1, Ypsilanti, MI 48197-2061 | 2014-07-14 |
| 1811066830 | Lydia Dh Mcburrows | Nurse Practitioner | 510 Emerick St, Ypsilanti, MI 48198-5702 | 2006-11-06 |
| 1629459177 | Angela Waldman | Nurse Practitioner | 2900 Packard Rd Ste 1, Ypsilanti, MI 48197-2061 | 2015-06-10 |
| 1114310901 | Marissa Dasilva I | Nurse Practitioner | 4936 W Clark Rd, Ste 101, Ypsilanti, MI 48197-0861 | 2015-03-18 |
| 1679990253 | Lindsey A. Mitzel | Nurse Practitioner | 2900 Packard Rd, Suite 1, Ypsilanti, MI 48197-2060 | 2014-03-21 |
| 1407084411 | Rebecca Lynn Brown | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2009-06-29 |
| 1528102118 | Linda Repasky | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2007-02-16 |
| 1093868861 | Kathleen Davis | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2007-01-18 |
| 1275684490 | Michelle Hicks | Nurse Practitioner | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197-0861 | 2007-01-15 |
| 1316005085 | Ella May A Tarrier | Nurse Practitioner | 47 N Huron St, Ypsilanti, MI 48197-2607 | 2006-12-05 |
| Find all providers in YPSILANTI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.