Shannon J Ziriada, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704309397 Issued in MI

Practice address

19135 Allen Rd Ste 100
Brownstown TWP, MI 48183-6813

Phone

(734) 486-4700

NPI assigned

Jul 22, 2020

Last updated

Jul 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEIGBA
• Direct secure messaging: shannon.ziriada.1@20203.direct.athenahealth.com
• Direct secure messaging: sziriada313886@direct.hfhs.org

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.

• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  Medicare reassignment Care Compare group NPD
• Venocure, PLLC

  • Cardiovascular Disease Physician
  • Dearborn, MI
  • NPI 1609041672
  NPD
• Hala Nahhas, M.D., PLLC

  • Neurology Physician
  • Bloomfield Hills, MI
  • NPI 1871783662
  NPD (past)
• Mancini Consulting L.L.C.

  • Cardiovascular Disease Physician
  • Dearborn, MI
  • NPI 1023413945
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1336757640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33155 ANNAPOLIS ST",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19135 ALLEN RD STE 100",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481836813",
            "telephone_number": "734-486-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2881 Monroe St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481243475",
            "country_code": "US",
            "telephone_number": "313-562-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2881 Monroe St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481243475",
            "country_code": "US",
            "telephone_number": "313-562-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIRIADA",
        "first_name": "SHANNON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704309397",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704309397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyandotte Physician Practices (Downriver Dermatology Center)
• Wyandotte Physician Practices
• Melissa Wylie, D.O.
• Mariam Shabaan Yasin, PHARMD
• Laal S. Zada, DPM

• Family Nurse Practitioner in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.