Individual provider Active NPI

Shawn Raye Cradit, MS, ATC

  • Athletic Trainer
  • Sterling Heights, MI
National Provider Identifier
1487783437
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
8301 16.5 Mile Road
Apt. #285
Sterling Heights, MI 48312
Phone
(586) 977-8967
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X MI Primary

Addresses

Primary practice location

8301 16.5 Mile Road
Apt. #285
Sterling Heights, MI 48312

Mailing address

8301 16.5 Mile Road
Apt. #285
Sterling Heights, MI 48312
Phone (586) 977-8967

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
Master of Science

State licenses

LicenseStateTypeSpecialty
049502422MIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487783437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 16.5 MILE ROAD",
            "address_2": "APT. #285",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48312",
            "telephone_number": "586-977-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 16.5 MILE ROAD",
            "address_2": "APT. #285",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48312",
            "telephone_number": "586-977-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADIT",
        "first_name": "SHAWN",
        "middle_name": "RAYE",
        "name_prefix": "Ms.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.