Individual provider Active NPI

Shyma Nageeb Ahmed, NP

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1376265165
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704338816 Issued in MI
Practice address
28351 Schoenherr Rd
Warren, MI 48088-6331
Phone
(586) 393-6500
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 4704338816 MI Primary

Addresses

Primary practice location

28351 Schoenherr Rd
Warren, MI 48088-6331

Mailing address

11637 McDougall St
Hamtramck, MI 48212-3030
Phone (586) 393-6500

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
I20230524003427 MI Practitioner - Nurse Practitioner 0244696748 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neurology Associates, P.C. CurrentSince Mar 6, 2024 Accepting new patients
Michigan Neurology Associates PC CurrentSince Mar 6, 2024 Accepting new patients
Family Practice Care PLLC CurrentSince May 1, 2023 Accepting new patients
Family Practice Care PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

34025 Harper Ave
Clinton Twp, MI 48035
Phone (586) 445-9900

19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900

28351 Schoenherr Rd
Ste A
Warren, MI 48088
Phone (586) 393-6500

28351 Schoenherr Rd
Warren, MI 48088
Phone (586) 393-6286

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.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1376265165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 MCDOUGALL ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123030",
            "telephone_number": "586-393-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28351 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886331",
            "telephone_number": "586-393-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHYMA",
        "middle_name": "NAGEEB",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704338816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.