Shivani Stinson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601008876 Issued in MI

Practice address

3270 Greenfield Rd
Berkley, MI 48072-1161

Phone

(248) 268-1525

NPI assigned

Oct 17, 2018

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Berkley Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Berkley, MI
  • NPI 1083022735
  NPD (past)

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1538635503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 GREENFIELD RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721161",
            "telephone_number": "248-268-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 GREENFIELD RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721161",
            "telephone_number": "248-268-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "SHIVANI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Stephens, MD
• Beth Ann Steslicki, RN
• Kimberly J Stevens
• James Donald Stevenson, R.PH
• James R Stewart, M.D.
• Jessica Stone, MA, LLPC, NCC, SCL
• Melissa Marie Sulfaro, PSY.D
• Abhishek Swami
• Matthew Martin Sweeney, DIPL AC., L.AC.
• Barak Tanzman, D.O.

• Physician Assistant in Berkley, MI
• Providers in Berkley, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.