Active NPI
Shweta Alkesh Patel
- General Practice Registered Nurse
- Canton, MI
National Provider Identifier
1619695582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 4704317773
- Practice address
- 6646 Carriage Hills Dr
Canton, MI 48187-3042 - Phone
- (734) 709-3959
- NPI assigned
- Aug 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704317773 | MI | |
| General Practice Registered Nurse | 163WG0000X | 4704317773 | MI | Primary |
Addresses
Primary practice location
6646 Carriage Hills Dr
Canton, MI 48187-3042
Mailing address
6646 Carriage Hills Dr
Canton, MI 48187-3042
Phone (734) 709-3959
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704317773 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann Arbor Urgent Care, P.C | Multi-Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1619695582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6646 CARRIAGE HILLS DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481873042",
"telephone_number": "734-709-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6646 CARRIAGE HILLS DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481873042",
"telephone_number": "734-709-3959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHWETA",
"middle_name": "ALKESH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704317773",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": "MI",
"license": "4704317773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.