Shannon Nelsen, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201003322 Issued in MI

Practice address

17877 W 14 Mile Rd Ste 201
Beverly Hills, MI 48025-3127

Phone

(248) 644-3920

Fax

(248) 352-2915

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michigan Orthopaedic Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Southfield, MI
  • NPI 1306394309
  Medicare reassignment Care Compare group NPD
• Kidney Specialists of Michigan

  • Nephrology Physician
  • Southfield, MI
  • NPI 1942459805
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1609083930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17877 W 14 MILE RD",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253127",
            "telephone_number": "248-644-3920",
            "fax_number": "248-644-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17877 W 14 MILE RD STE 201",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253127",
            "telephone_number": "248-644-3920",
            "fax_number": "248-352-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "SHANNON",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Moore, PT, DPT
• Caroline Morris, PA
• Samuel J Mucci, M.D.
• Jason Alan Mulawa, MD, PHARMD
• Cathleen Marie Nagle, PT
• Nicholaos G Makris MD PC
• Ayesha Carmela Oglesby, FNP-C
• Luis Fernando Ospina, MD
• Caroline Paige Pacheco, LMSW
• Pai Participant 18 PC

• Occupational Therapist in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.