Active NPI
Christiana Shore
- Student in an Organized Health Care Education/Training Program
- Sterling Heights, MI
National Provider Identifier
1033089537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 5351018294
- Practice address
- 36342 Park Place Dr
Sterling Heights, MI 48310-4217 - Phone
- (248) 982-4035
- NPI assigned
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5351018294 | MI | Primary |
Addresses
Primary practice location
36342 Park Place Dr
Sterling Heights, MI 48310-4217
Mailing address
36342 Park Place Dr
Sterling Heights, MI 48310-4217
Phone (248) 982-4035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5351018294 | MI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1033089537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36342 PARK PLACE DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104217",
"telephone_number": "248-982-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36342 PARK PLACE DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104217",
"telephone_number": "248-982-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORE",
"first_name": "CHRISTIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5351018294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.