Active NPI
Shannon Kathleen Keranen, MT
- Mechanotherapist
- Howell, MI
National Provider Identifier
1487071163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 108538
- Practice address
- 4336 E Grand River Ave
Howell, MI 48843-8554 - Phone
- (810) 844-1283
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 108538 | MI | Primary |
Addresses
Primary practice location
4336 E Grand River Ave
Howell, MI 48843-8554
Mailing address
4336 E Grand River Ave
Howell, MI 48843-8554
Phone (810) 844-1283
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)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108538 | MI | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1487071163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4336 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438554",
"telephone_number": "810-844-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4336 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438554",
"telephone_number": "810-844-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERANEN",
"first_name": "SHANNON",
"middle_name": "KATHLEEN",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MI",
"license": "108538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.