Individual provider Active NPI

Katherine Rose Shaw, NP

  • Adult Health Nurse Practitioner
  • Troy, MI
National Provider Identifier
1235564402
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704269149 Issued in MI
Practice address
4600 Investment Dr Ste 180
Troy, MI 48098-6366
Phone
(248) 764-4225
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704269149 MI Primary

Addresses

Primary practice location

4600 Investment Dr Ste 180
Troy, MI 48098-6366

Mailing address

4600 Investment Dr Ste 180
Troy, MI 48098-6366
Phone (248) 764-4225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414000535 MI Practitioner - Nurse Practitioner 2264750777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolyn E Guidot MD PCGroup PAC ID 5294867495, 2 clinicians
LMT Rehabilitation Associates PCGroup PAC ID 0446265268, 30 clinicians

Practice addresses (Care Compare)

18161 W 13 Mile Rd
Southfield, MI 48076-1113
Phone (248) 642-8989

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
Phone (248) 288-2210

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
78.42
Promoting interoperability
100
Improvement activities
40
Cost
70.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LMT Rehabilitation Associates,PC CurrentSince Dec 1, 2025 Accepting new patients
LMT Rehabilitation Associates,PC CurrentSince Dec 1, 2025 Accepting new patients
Carolyn E Guidot MD PC CurrentSince Feb 10, 2015 Accepting new patients
LMT Rehabilitation Associates Past Accepting new patients

Locations

3535 W 13 Mile Rd
Ste 437
Royal Oak, MI 48073
Phone (248) 288-2210

19933 W 13 Mile Rd
Southfield, MI 48076
Phone (248) 203-9000

18161 W 13 Mile Rd
Ste E1
Southfield, MI 48076
Phone (248) 642-8989

4600 Investment Dr
Ste 180
Troy, MI 48098
Phone (248) 288-2210

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1235564402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR STE 180",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986366",
            "telephone_number": "248-764-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR STE 180",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986366",
            "telephone_number": "248-764-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704269149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.