SHONTAYA CARRICO (NPI# 1831501808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831501808 |
| Entity Type | Individual |
| Full Name | SHONTAYA CARRICO |
| Credential | CNS |
| Practice Address |
2333 Biddle Avenue Wyandotte MI 48192 |
| Practice Telephone | 7342469547 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
4704247508 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2333 BIDDLE AVENUE |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386609444 | Nanjappa C Sadasivan | Radiology | 2333 Biddle Avenue, Wyandotte, MI 48192 | 2006-04-19 |
| 1619408051 | Danielle Hunt Ortega | Family Medicine | 2333 Biddle Avenue, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-27 |
| 1396106183 | Justin Nippert | Emergency Medicine | 2333 Biddle Avenue, Wyandotte, MI 48192 | 2016-03-08 |
| 1093182883 | Henry Ford Wyandotte Hospital | Pharmacy | 2333 Biddle Avenue, Wyandotte, MI 48192-0000 | 2015-08-27 |
| 1366832511 | Henry Ford Health System | Clinic/Center | 2333 Biddle Avenue, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2015-01-27 |
| 1750729281 | Michelle M. Fundaro | Social Worker | 2333 Biddle Avenue, Behavioral Services, Wyandotte, MI 48192 | 2013-06-06 |
| 1659441590 | Lori Jean Stoddart | Occupational Therapist | 2333 Biddle Avenue, Wyandotte, MI 48192-4693 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496435 | Valerie M Pauli | Clinical Nurse Specialist | 8339 Jam Ct, Temperance, MI 48182-8300 | 2020-11-01 |
| 1639787864 | Marguerite C Debello | Clinical Nurse Specialist | 5335 Kingsfield Dr, West Bloomfield, MI 48322-2037 | 2020-07-14 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1023673639 | Annointed Outreach | Clinical Nurse Specialist | 25435 Southfield Rd, Southfield, MI 48075-1907 | 2019-05-08 |
| 1679107585 | Mitzi Saunders | Clinical Nurse Specialist | 4001 W Mcnichols Rd, Detroit, MI 48221-3038 | 2020-02-29 |
| 1518510114 | Katelyn Bredeweg | Clinical Nurse Specialist | 8333 Felch St, Zeeland, MI 49464-2608 | 2019-07-23 |
| 1548812423 | Alisyn Paige Vanderwal | Clinical Nurse Specialist | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2019-07-11 |
| 1144781675 | Cheryl Sue Houseman | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-03-27 |
| 1841641248 | Sabina Khanuja Singh | Clinical Nurse Specialist | 22101 Moross Rd, Detroit, MI 48236-2148 | 2016-06-27 |
| 1346625738 | Michelle Lee Beigle | Clinical Nurse Specialist | 2325 Summit Park Dr, Suite 3, Petoskey, MI 49770-8774 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
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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.