Active NPI
Ann Patrice Sheehan, DNP, CPNP
- Pediatric Nurse Practitioner
- Portage, MI
National Provider Identifier
1639177983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4704160324
- Practice address
- 670 Mall Dr
Portage, MI 49024-2878 - Phone
- (269) 327-1900
- Fax
- (269) 327-1564
- NPI assigned
- Jul 11, 2005
- Last updated
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4704160324 | MI | Primary |
Addresses
Primary practice location
670 Mall Dr
Portage, MI 49024-2878
Mailing address
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 327-5700
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Valley State University | Past | Accepting new patients | |
| Michigan State University Kalamazoo Center for Medical Studies | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Campus Health Center
- Urgent Care Clinic/Center
- Allendale, MI
- NPI 1518019223
-
dba Msu/KCMS
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1568467249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1639177983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282",
"telephone_number": "269-327-5700",
"fax_number": "269-327-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 MALL DR",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490242878",
"telephone_number": "269-327-1900",
"fax_number": "269-327-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "ANN",
"middle_name": "PATRICE",
"credential": "DNP, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704160324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.