Active NPI
Shamika Mason
- Nurse's Aide
- Benton Harbor, MI
National Provider Identifier
1629945654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- MI000041359
- Practice address
- 1412 Jennings Ave
Benton Harbor, MI 49022-5806 - Phone
- (269) 759-4608
- NPI assigned
- Oct 23, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | MI000041359 | MI | Primary |
Addresses
Primary practice location
1412 Jennings Ave
Benton Harbor, MI 49022-5806
Mailing address
1412 Jennings Ave
Benton Harbor, MI 49022-5806
Phone (269) 759-4608
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 |
|---|---|---|---|
| MI000041359 | MI | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nina'S Compassionate Care | Current | 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.
-
- Home Health Aide
- Benton Harbor, MI
- NPI 1821923475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1629945654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 JENNINGS AVE",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490225806",
"telephone_number": "269-759-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 JENNINGS AVE",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490225806",
"telephone_number": "269-759-4608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "SHAMIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-23",
"last_updated": "2025-10-23",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "MI",
"license": "MI000041359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.