Shanecia Croxton

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703107177 Issued in MI

Practice address

12310 Prairie Dr
Sterling Heights, MI 48312-5230

Phone

(313) 693-6045

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1487109658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 PRAIRIE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125230",
            "telephone_number": "313-693-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 PRAIRIE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125230",
            "telephone_number": "313-693-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROXTON",
        "first_name": "SHANECIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703107177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crittenton RX LLC
• Crittenton RX LLC
• Erica Croom, LLMSW
• Courtney S Cross, CTRS
• Victoria Marie Cross
• Brittni Nicol Cruse, PT
• Donald Daniel Cucchi, DO
• Dantanique Cummings
• Christie Cunningham, C.T.R.S
• Kristina Cunningham, ANP-BC

• Licensed Practical Nurse in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.