Active NPI
Loren Camano Shkolnik
- Family Nurse Practitioner
- Ann Arbor, MI
National Provider Identifier
1548746779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704299247
- Practice address
- 3200 W Liberty Rd Ste C5
Ann Arbor, MI 48103 - Phone
- (734) 222-9630
- NPI assigned
- Jul 11, 2018
- Last updated
- Jan 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704299247 | MI | Primary |
| Registered Nurse | 163W00000X | 4704299247 | MI |
Addresses
Primary practice location
3200 W Liberty Rd Ste C5
Ann Arbor, MI 48103
Mailing address
3200 W Liberty Rd Ste C5
Ann Arbor, MI 48103-9746
Phone (734) 222-9630
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | loren.shkolnik.1@9738.direct.athenahealth.com | Health Information Exchange (HIE) |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Fivenson, M.D.Dermatology, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9738/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical & Laboratory Dermatological Immunology Physician
- Ann Arbor, MI
- NPI 1205037454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1548746779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 W LIBERTY RD STE C5",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039746",
"telephone_number": "734-222-9630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 W LIBERTY RD STE C5",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48103",
"telephone_number": "734-222-9630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHKOLNIK",
"first_name": "LOREN",
"middle_name": "CAMANO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704299247",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704299247",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "loren.shkolnik.1@9738.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "EHR direct message",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3200 W Liberty Rd Ste C5",
"city": "Ann Arbor",
"state": "MI",
"country_code": "US",
"postal_code": "48103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.