Active NPI
Shonna Christine Colclasure, MS
- Health Information Technician
- Novi, MI
National Provider Identifier
1538553334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Information Technician
- Practice address
- 41521 W 11 Mile Rd
Novi, MI 48375-1803 - Phone
- (248) 299-0030
- NPI assigned
- Mar 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Health Information Technician | 247000000X | Primary |
Addresses
Primary practice location
41521 W 11 Mile Rd
Novi, MI 48375-1803
Mailing address
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1538553334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41521 W 11 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483751803",
"telephone_number": "248-299-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41521 W 11 MILE RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483751803",
"telephone_number": "248-299-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLCLASURE",
"first_name": "SHONNA",
"middle_name": "CHRISTINE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-19",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "247000000X",
"taxonomy_group": "",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.