SHELLEY LEE KNOODLE (NPI# 1841396926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841396926 |
| Entity Type | Individual |
| Full Name | SHELLEY LEE KNOODLE |
| Credential | ATR |
| Practice Address |
4646 John R John D Dingell Vamc 553/11g-pm Detroit MI 48201 |
| Mailing Address |
3116 Glouchester Ave. #110 Troy MI 48084-2729 |
| Practice Telephone | 3135761000 |
| Practice Fax Number | 3135761246 |
| Mailing Telephone | 2488163226 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | 99-107 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4646 JOHN R JOHN D DINGELL VAMC 553/11G-PM |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144272022 | Usha Rani Kilaru | Psychiatry & Neurology | 4646 John R, John D Dingell Va Medical Center, Detroit, MI 48201 | 2006-05-17 |
| 1497354419 | Asyah S Ali | Registered Nurse | 4646 John R, Detroit, MI 48201 | 2020-10-21 |
| 1669742326 | Karen Ann Race | Dietitian, Registered | 4646 John R, John D. Dingell Medical Center, Detroit, MI 48201-1916 | 2012-01-11 |
| 1043455702 | Michele Marie Corker | Clinical Nurse Specialist | 4646 John R, John D. Dingell Va Medical Center, Detroit, MI 48201 | 2008-12-10 |
| 1548459373 | Maria Elena Mccusker | Nurse Anesthetist, Certified Registered | 4646 John R, Detroit, MI 48201 | 2007-10-17 |
| 1962609297 | Kirtikumar M Trivedi | Spec/Tech, Pathology | 4646 John R, Vamc, Detroit, MI 48201 | 2007-06-29 |
| 1265526834 | Douglas James Miller | Internal Medicine | 4646 John R, John D. Dingell Va Medical Center, Detroit, MI 48201 | 2006-10-03 |
| 1215030572 | Jacquelyn D. Senia | Social Worker | 4646 John R, Detroit, MI 48201 | 2006-09-05 |
| 1760584155 | Terrie A Kurtzhals | Physician Assistant | 4646 John R, Detroit, MI 48201 | 2006-09-05 |
| 1588766976 | Wasfy Hamad | Internal Medicine | 4646 John R, 11m, Detroit, MI 48201 | 2006-09-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154538908 | Margaret Mary Mcguinness | Art Therapist | 1950 Trumbull St, Detroit, MI 48216-1529 | 2007-05-17 |
| 1629286471 | Janis Sue Kaufman | Art Therapist | 8600 Woodward Ave, Detroit, MI 48202-2142 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011211 | Taylor Beardsall | Art Therapist | 21220 W 14 Mile Rd, Bloomfield Hills, MI 48301-4000 | 2020-10-20 |
| 1144835166 | Artfully Centered, LLC | Art Therapist | 5920 Vandercook St, Monroe, MI 48161-3747 | 2020-09-15 |
| 1639719321 | Jodi Rachelle Leib | Art Therapist | 4518 Walden Dr, Bloomfield Hills, MI 48301-1149 | 2020-01-09 |
| 1295207389 | Molly Diana | Art Therapist | 432 Charlevoix St, Clawson, MI 48017-2036 | 2018-12-30 |
| 1760778179 | Erin Shahly | Art Therapist | 1316 Campbell Rd., Suite # 140, Royal Oak, MI 48067 | 2011-06-23 |
| 1942448790 | Katherine Marie Munter | Art Therapist | 308 Skydale Dr, Ann Arbor, MI 48105-1137 | 2009-02-02 |
| 1679783922 | Karin Elizabeth Mccaul | Art Therapist | 28484 Bayberry Rd, Farmington Hills, MI 48331-2761 | 2007-05-23 |
| 1922216209 | Tih H. Penfil | Art Therapist | 1676 Myrtle Ave, Madison Hts, MI 48071-3060 | 2007-05-18 |
| 1417165119 | Ireneus Jerome Kozak | Art Therapist | 28494 Walker Ave, Warren, MI 48092-2543 | 2007-05-18 |
| 1841365350 | Cynthia Diane O'flynn | Art Therapist | 1200 Stephenson Hwy, Troy, MI 48083-1115 | 2006-11-21 |
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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.