Individual provider Active NPI

Shweta Alkesh Patel

  • General Practice Registered Nurse
  • Canton, MI
National Provider Identifier
1619695582
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
4704317773 Issued in MI
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

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704317773 MI
General Practice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
4704317773MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.