Tara Shea

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704201117 Issued in MI

Practice address

2050 N Haggerty Rd
Suite 100
Canton, MI 48187-3795

Phone

(734) 981-7086

Fax

(734) 981-5094

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tara McGill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFHEBA

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.

• Apollo Family Health Services PC

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1891767281
  NPD
• Apollo Hospitalist Group

  • Hospitalist Physician
  • Garden City, MI
  • NPI 1548978794
  NPD
• Oakwood Healthcare Inc

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)
• Robyn L. Dragoo, OD PC

  • Optometrist
  • Novi, MI
  • NPI 1447482369
  NPD (past)
• St Joseph Mercy Hospital

  • Cardiac Rehabilitation Clinic/Center
  • Ypsilanti, MI
  • NPI 1902359094
  NPD (past)
• St Joseph Mercy Hospital

  • Nurse Practitioner
  • Ypsilanti, MI
  • NPI 1992824452
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1457439481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD STE 260",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873796",
            "telephone_number": "734-981-1086",
            "fax_number": "734-981-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-981-7086",
            "fax_number": "734-981-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704201117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MCGILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allisyn Sharbnow, LPN
• Anjana Sharma
• Vibha Sharma, PT
• Mara Sharp
• Sharper Vision, PLLC
• Hunter Lee Sheckley, MD
• Megan Elizabeth Sheeran, LMSW
• Lauraetta Denise Sheffield
• Connie Shelton-Byars, RPH
• Malini Shenava, M.D.

• Family Nurse Practitioner in Canton, MI
• Providers in Canton, 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 Dec 23, 2019; 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.