Snapp Back to Health LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

SNAPP BACK TO HEALTH LLC

Practice address

20905 Greenfield Rd Ste 303
Southfield, MI 48075-5347

Phone

(248) 450-3177

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Shanta Nicole Brown, NPNPI 1124679188

Title

Owner

Phone

(248) 252-9730

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanta Nicole Brown, NP

  • Primary Care Nurse Practitioner
  • Brownstown, MI
  • NPI 1124679188

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1497485254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755347",
            "telephone_number": "248-450-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD STE 303",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755347",
            "telephone_number": "248-450-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAPP BACK TO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANTA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-252-9730",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winona Chatman Smith, PA
• Yvette Smith
• Lauren Elizabeth Smithson, M.D.
• Marisa Smitt, CNP
• Bradley Smude, MD
• Ashley Snavley
• Amber Sneed
• Logan Snider
• Jessica Snyder
• Peyton Snyder

• Adult Health Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.