Active NPI
Shannon Nicole Kaye Ortiz, ATC
- Athletic Trainer
- Clinton TWP, MI
National Provider Identifier
1497614168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601003228
- Practice address
- 15520 19 Mile Rd Ste 450
Clinton TWP, MI 48038-6332 - Phone
- (586) 416-2000
- Fax
- (586) 416-2013
- NPI assigned
- Jan 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601003228 | MI | Primary |
Addresses
Primary practice location
15520 19 Mile Rd Ste 450
Clinton TWP, MI 48038-6332
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601003228 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1497614168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15520 19 MILE RD STE 450",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480386332",
"telephone_number": "586-416-2000",
"fax_number": "586-416-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "SHANNON",
"middle_name": "NICOLE KAYE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-19",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601003228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.