Shawna Susanne Cuda

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704293145 Issued in MI

Practice address

1428 S Lapeer Rd
Lake Orion, MI 48360-1437

Phone

(248) 693-0543

Fax

(248) 693-3683

NPI assigned

Sep 5, 2018

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231

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.

• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Clemens, MI
  • NPI 1265749683

  MI

  Medicare reassignment NPD
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Center Line, MI
  • NPI 1770284564
  NPD
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Center Line, MI
  • NPI 1811391212
  NPD
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  NPD (past)
• Women'S Healthcare Associates of Oakland PLLC

  • Medical Specialty Clinic/Center
  • Lake Orion, MI
  • NPI 1568653780
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1487136552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-693-0543",
            "fax_number": "248-693-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-693-0543",
            "fax_number": "248-693-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDA",
        "first_name": "SHAWNA",
        "middle_name": "SUSANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704293145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne Crisp, LLP
• Crittenton Medical Equipment LLC
• Crittenton Medical Equipment, LLC
• Crittenton Medical Equipment, LLC
• Barbara Crone, CNM, CNP
• Cuddle & Care Lactation, LLC
• Rebecca Jo Culvey, PTA
• Custom Chiropractic & Wellness Inc
• Sunil Kumar Das, MD
• Carolyn Mei Davis

• All providers in Lake Orion, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.