Roxanne Shimelonis, PRC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

932 Beach St
Flint, MI 48502-1502

Phone

(810) 238-5888

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Flint Odyssey House Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Flint, MI
  • NPI 1972156701
  NPD

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1508512740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 MARTIN LUTHER KING JUNIOR BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485022002",
            "telephone_number": "810-238-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 BEACH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021502",
            "telephone_number": "810-238-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMELONIS",
        "first_name": "ROXANNE",
        "credential": "PRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puranchander Shetty, MD
• Kimberly Meg Shewmaker, LMSW, CAADC, CCDP-D
• Angela Shi
• Shift Consulting
• Yang Luen Shih, DDS
• Maria Shkrelja
• Taylor Short
• Maryum Shoukat
• Persis Shoukry Shoukr, PA-C
• Shree Pharmacy

• Peer Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.