Individual provider Active NPI

Shateria Michelle Boone

  • Psychiatric/Mental Health Nurse Practitioner
  • Brownstown, MI
National Provider Identifier
1316799281
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704229347 Issued in MI
Practice address
26791 Silver Creek CT
Brownstown, MI 48134-1182
Phone
(313) 304-0408
Fax
(866) 551-4017
NPI assigned
Apr 3, 2024
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704229347 MI Primary

Addresses

Primary practice location

26791 Silver Creek CT
Brownstown, MI 48134-1182

Mailing address

26791 Silver Creek CT
Brownstown, MI 48134-1182
Phone (313) 304-0408

Other practice location 1

6309 Mack Ave
Detroit, MI 48207-2302
Phone (888) 813-8326

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704229347MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
R N Home Health Care, PLLC Current Accepting new patients
C&S Home Health Care Services,LLC Current Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1316799281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26791 SILVER CREEK CT",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481341182",
            "telephone_number": "313-304-0408",
            "fax_number": "866-551-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26791 SILVER CREEK CT",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481341182",
            "telephone_number": "313-304-0408",
            "fax_number": "866-551-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6309 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482072302",
            "country_code": "US",
            "telephone_number": "888-813-8326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "SHATERIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704229347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.