MS. NOREEN F SHACKELFORD (NPI# 1881802296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881802296 |
| Entity Type | Individual |
| Full Name | MS. NOREEN F SHACKELFORD |
| Credential | RN |
| Practice Address |
3506 Gratiot Ave Detroit MI 48207-1830 |
| Mailing Address |
13920 Bramell St Detroit MI 48223-2523 |
| Practice Telephone | 3138876757 |
| Mailing Telephone | 3132550902 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
4704178566 | MI | Nursing Service Providers |
| Street Address |
3506 GRATIOT AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710102249 | Gratiot Clinic | Counselor | 3506 Gratiot Ave, Detroit, MI 48207-1830 | 2007-04-17 |
| 1417167990 | James Howard Davis | Counselor | 3506 Gratiot Ave, Detroit, MI 48207-1830 | 2007-05-23 |
| 1770791188 | Carol Bryant | Registered Nurse | 3506 Gratiot Ave, Detroit, MI 48207-1830 | 2007-05-18 |
| 1023230653 | Levonne Donnie Davis | Counselor | 3506 Gratiot Ave, Detroit, MI 48207-1830 | 2007-05-03 |
| 1619199254 | Barbara Ann Shearer | Counselor | 3506 Gratiot Ave, Detroit, MI 48207-1830 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699283234 | Karen Stanford | Registered Nurse | 751 E Grand Blvd, Detroit, MI 48207-2529 | 2018-01-17 |
| 1467863894 | Blanche Lewis | Registered Nurse | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2014-05-20 |
| 1467733097 | Mical Joel Barnhart | Registered Nurse | 5250 John R St, Detroit, MI 48202-4030 | 2011-09-09 |
| 1356621486 | Jessica Eryn Greb | Registered Nurse | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2011-08-21 |
| 1295903847 | Andrea Denise Esu | Registered Nurse | 5555 Conner St, Suite 1000, South, Detroit, MI 48213-3448 | 2008-02-18 |
| 1770791188 | Carol Bryant | Registered Nurse | 3506 Gratiot Ave, Detroit, MI 48207-1830 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699123471 | Kimberly Wells | Registered Nurse | 519 E Brook Dr, Newaygo, MI 49337-8573 | 2016-06-02 |
| 1023498409 | Kelli Markarian | Registered Nurse | 9101 William St, Taylor, MI 48180-2822 | 2015-06-01 |
| 1881072395 | Gregory Pula | Registered Nurse | 706 Pemberton Ln, Jackson, MI 49203-7127 | 2015-05-16 |
| 1215377304 | Carol Ann Mcneil | Registered Nurse | 2800 Ore Valley Dr, Hartland, MI 48353-2810 | 2013-07-03 |
| 1336321215 | Sandra Marion Stetz | Registered Nurse | 3483 Clintonville Rd, Waterford, MI 48329-2227 | 2007-12-03 |
| 1902088016 | Pam Nemer | Registered Nurse | 7177 Magnolia Ln, Waterford, MI 48327-4421 | 2007-11-30 |
| 1760089148 | Ambor Lynn Sanders | Registered Nurse | 1022 E Main St, Benton Harbor, MI 49022-3036 | 2020-10-08 |
| 1932715778 | Carole A Stacy | Registered Nurse | 2025 S Washington Ave, Lansing, MI 48910-0828 | 2020-09-17 |
| 1932711652 | Renee N/a Pollard | Registered Nurse | 43825 Michigan Ave, Canton, MI 48188-2551 | 2020-08-24 |
| 1427660596 | Larry Scott Fitzgerald | Registered Nurse | 43825 Michigan Ave Ste 1, Canton, MI 48188-2551 | 2020-08-20 |
| 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.