Active NPI
Shala Gregory
- Nurse's Aide
- Flint, MI
National Provider Identifier
1174185458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- MI000016572
- Practice address
- G3500 Flushing Rd Ste 244
Flint, MI 48504-4235 - Phone
- (810) 820-7390
- NPI assigned
- Jul 8, 2019
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | MI000016572 | MI | Primary |
Addresses
Primary practice location
G3500 Flushing Rd Ste 244
Flint, MI 48504-4235
Mailing address
G3500 Flushing Rd Ste 244
Flint, MI 48504-4235
Phone (810) 820-7390
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | smile_brite@yahoo.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| MI000016572 | MI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1174185458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G3500 FLUSHING RD STE 244",
"city": "FLINT",
"state": "MI",
"postal_code": "485044235",
"telephone_number": "810-820-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3500 FLUSHING RD STE 244",
"city": "FLINT",
"state": "MI",
"postal_code": "485044235",
"telephone_number": "810-820-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "SHALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MI",
"license": "MI000016572",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "smile_brite@yahoo.com",
"affiliation": "N",
"endpointDescription": "Direct Communication",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information",
"address_1": "G3500 Flushing Rd Ste 244",
"city": "Flint",
"state": "MI",
"country_code": "US",
"postal_code": "485044235",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.