SHANNON KAY BRASIL (NPI# 1528217833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528217833 |
| Entity Type | Individual |
| Full Name | SHANNON KAY BRASIL |
| Credential | NP |
| Practice Address |
1428 S Lapeer Rd Lake Orion MI 48360 |
| Mailing Address |
Po Box 2137 Birmingham MI 48012-2137 |
| Practice Telephone | 2486930543 |
| Practice Fax Number | 2486304301 |
| Mailing Telephone | 2486930543 |
| Mailing Fax Number | 2486304301 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704180713 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPI NUMBER | 1528217833 | 01 |
| Street Address |
1428 S LAPEER RD |
| City | LAKE ORION |
| State | MI |
| Zip Code | 48360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619905387 | Jonathan Thomas Zaidan | Obstetrics & Gynecology | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2006-06-29 |
| 1538793583 | Lauren Elizabeth Toma | Physician Assistant | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2020-02-28 |
| 1992335152 | Cristina Coccia Galvan | Advanced Practice Midwife | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2020-01-16 |
| 1902459134 | Amber Elling | Nurse Practitioner | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2019-07-17 |
| 1215596820 | Deanna Hart | Advanced Practice Midwife | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2019-06-07 |
| 1487136552 | Shawna Susanne Cuda | Nurse Practitioner | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2018-09-05 |
| 1639626245 | April Solea | Advanced Practice Midwife | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2016-09-01 |
| 1548641442 | Melody Zoma | Obstetrics & Gynecology | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2015-06-16 |
| 1881074011 | Abigail Anne Boyd | Obstetrics & Gynecology | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2015-06-03 |
| 1235537366 | Nicole Winn | Nurse Practitioner | 1428 S Lapeer Rd, Lake Orion, MI 48360 | 2014-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124409446 | Kyle Vires | Licensed Practical Nurse | 2271 Geyer Ct, Lake Orion, MI 48360 | 2015-06-11 |
| 1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
| 1205119567 | Michigan Bone and Joint Center | Orthopaedic Surgery | 1251 S. Lapeer Rd., Suite #102, Lake Orion, MI 48360 | 2011-09-23 |
| 1629226139 | Travis L Summerville | Physical Therapist | 1298 Walloon Way, Lake Orion, MI 48360 | 2008-09-09 |
| 1982878609 | Audrey Vizzaccaro | Physician Assistant | 1261 South Lapeer Rd, Ste 201, Lake Orion, MI 48360 | 2008-04-14 |
| 1881872265 | H & L Drugs Inc | Durable Medical Equipment & Medical Supplies | 1455 S Lapeer, Suite 101, Lake Orion, MI 48360 | 2008-02-07 |
| 1598952129 | Oakland Psychological Clinic, P.C. | Counselor | 1455 S Lapeer Rd Ste 175n, Lake Orion, MI 48360 | 2007-09-27 |
| 1700098704 | Laura Elizabeth Salome | Audiologist | 1176 S. Lapeer Rd, Lake Orion, MI 48360 | 2007-05-04 |
| 1780743658 | Frank James Iulianelli | Chiropractor | 2523 South Lapeer Road, Lake Orion, MI 48360 | 2006-12-07 |
| 1942377122 | James C Komendera Dds PC | Dentist | 1135 S Lapeer Rd, Lake Orion, MI 48360 | 2006-11-30 |
| Find all providers in zip 48360 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083156087 | Karma Maxwell | Nurse Practitioner | 3812 High Grove Way, Lake Orion, MI 48360-1574 | 2016-11-08 |
| 1972676427 | Barbara Crone | Nurse Practitioner | 1428 S Lapeer Rd, Lake Orion, MI 48360-1437 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ORION |
| Zip Code | 48360 |
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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.