Joel Emmanuel-Pierre Shreve Jr.

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

S610425229352 Issued in MI

Practice address

11300 Burt Rd
Detroit, MI 48228-1258

Phone

(313) 273-2068

NPI assigned

Sep 2, 2016

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1518414838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 BURT RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281258",
            "telephone_number": "313-273-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 BURT RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281258",
            "telephone_number": "313-273-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "JOEL",
        "middle_name": "EMMANUEL-PIERRE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MI",
            "license": "S610425229352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Mark Shounia, LLBSW
• Joseph Shovan, CRNA
• Bryce Showell
• Polly Shpargel
• Sujan Shrestha
• Maria Shreve, MD
• Meghan Irene Shrewsberry, ORTL
• Arunima Shrivastava, M.D.
• Kasheena T Shropshire, NP
• Livonia Shropshire

• Other Technician in Detroit, MI
• Providers in Detroit, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.