Individual provider Active NPI

Sheila Marie Vanlowe-Prince, MD

  • General Practice Physician
  • Grand Rapids, MI
National Provider Identifier
1568401032
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301054954 Issued in MI
Practice address
847 Parchment Dr SE Ste 120
Grand Rapids, MI 49546-2377
Phone
(616) 949-0000
Fax
(616) 949-5943
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301054954 MI Primary

Addresses

Primary practice location

847 Parchment Dr SE Ste 120
Grand Rapids, MI 49546-2377

Mailing address

847 Parchment Dr SE Ste 120
Grand Rapids, MI 49546-2377
Phone (616) 949-0000

Other identifiers 2

IdentifierTypeStateIssuer
4842601MedicaidMI
110D148370OtherMIBC/BS

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Az Medical Services Management LLC General Practice Past Accepting new patients
Midtown Family Practice, PLC Past Accepting new patients
Midtown Family Practice Past Accepting new patients
Joshuatree Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Great Lakes Medical Clinic, PLLC PastSince Mar 21, 2009 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1568401032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462377",
            "telephone_number": "616-949-0000",
            "fax_number": "616-949-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462377",
            "telephone_number": "616-949-0000",
            "fax_number": "616-949-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLOWE-PRINCE",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301054954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4842601",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "110D148370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.