Individual provider Active NPI

Kasheena T Shropshire, NP

  • Primary Care Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1497004527
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704243514 Issued in MI
Practice address
3956 Mount Elliott St
Detroit, MI 48207-1841
Phone
(313) 925-4540
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704243514 MI Primary

Addresses

Primary practice location

3956 Mount Elliott St
Detroit, MI 48207-1841

Mailing address

21273 Patterson Dr
Macomb, MI 48044-1333
Phone (586) 625-2180

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141022000557 MI Order and Referring Only - Nurse Practitioner 9133340821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704243514MIMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kshropshire851741@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1497004527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21273 PATTERSON DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441333",
            "telephone_number": "586-625-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3956 MOUNT ELLIOTT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071841",
            "telephone_number": "313-925-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROPSHIRE",
        "first_name": "KASHEENA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704243514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.