Brooke Marianna Shirley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4873 Burrwood St SE
Grand Rapids, MI 49546-3769

Phone

(616) 900-5001

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Equitable Learning Solutions

  • Behavior Analyst
  • Zeeland, MI
  • NPI 1538732714
  NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1639795115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4873 BURRWOOD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463769",
            "telephone_number": "616-900-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 BURRWOOD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463769",
            "telephone_number": "616-900-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "BROOKE",
        "middle_name": "MARIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Shinrock
• Cody W Shipley, PMHNP-BC
• Lauren Shipman, MOT
• Kamisha Shipp
• Brian Shipton, D.D.S
• Laura Rae Shirley, CNP
• Renell Shisha, DO
• Muhammad Shoaib, M.D.
• Kenneth F Shockley, D.O.
• Christopher R Shoemaker, MD

• Behavior Technician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.