Individual provider Active NPI

Maureen Joanne O'Shea, N.P.

  • Family Nurse Practitioner
  • Sault Sainte Marie, MI
National Provider Identifier
1326280546
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704254861 Issued in MI
Practice address
508 Ashmun Street
Chippewa County Health Department, Ste 120
Sault Sainte Marie, MI 49783-1976
Phone
(906) 635-1568
Fax
(906) 253-1466
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704254861 MI Primary

Addresses

Primary practice location

508 Ashmun Street
Chippewa County Health Department, Ste 120
Sault Sainte Marie, MI 49783-1976

Mailing address

508 Ashmun Street,
Chippewa County Health Department Ste 120
Sault Sainte Marie, MI 49783-1976
Phone (906) 635-1568

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704254861MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1326280546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ASHMUN STREET,",
            "address_2": "CHIPPEWA COUNTY HEALTH DEPARTMENT STE 120",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831976",
            "telephone_number": "906-635-1568",
            "fax_number": "906-253-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ASHMUN STREET",
            "address_2": "CHIPPEWA COUNTY HEALTH DEPARTMENT, STE 120",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831976",
            "telephone_number": "906-635-1568",
            "fax_number": "906-253-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "MAUREEN",
        "middle_name": "JOANNE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704254861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.