SHANITA BLEVINS (NPI# 1770105389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770105389 |
| Entity Type | Individual |
| Full Name | SHANITA BLEVINS |
| Credential | RN |
| Practice Address |
19962 Ferguson St Detroit MI 48235-2431 |
| Practice Telephone | 3133522774 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704343996 | MI | Nursing Service Providers |
| Street Address |
19962 FERGUSON ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
| Find all providers in zip 48235 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
| 1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
| 1699172148 | Carla Toler | Registered Nurse | 8623 Quincy St, Detroit, MI 48204-2338 | 2014-11-28 |
| 1487050407 | Julia Lavette Smith | Registered Nurse | 1121 Atkinson St, Detroit, MI 48202-1521 | 2014-11-19 |
| 1619386166 | Mary Carter | Registered Nurse | 18847 Gable St, Detroit, MI 48234-2641 | 2014-08-08 |
| 1093130643 | Derek Horride | Registered Nurse | 1223 Edison St, Detroit, MI 48202-1562 | 2014-02-19 |
| 1053697268 | Sharmel E. Hearn | Registered Nurse | 15277 Young St, Detroit, MI 48205-3662 | 2011-11-01 |
| 1952536153 | Lisa Garrett | Registered Nurse | 3823 31st St, Detroit, MI 48210-3117 | 2009-05-18 |
| 1457429037 | Joyce Goodma | Registered Nurse | 15597 Eastwood St, Detroit, MI 48205-2939 | 2006-12-01 |
| 1497354419 | Asyah S Ali | Registered Nurse | 4646 John R, Detroit, MI 48201 | 2020-10-21 |
| Find all providers in DETROIT | ||||
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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.