Active NPI
Pamela Joy Sheppard-Cusumano
- Health Educator
- Ann Arbor, MI
National Provider Identifier
1669050787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1169 Oak Valley Dr
Ann Arbor, MI 48108-9674 - Phone
- (734) 222-9800
- NPI assigned
- Mar 30, 2021
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1169 Oak Valley Dr
Ann Arbor, MI 48108-9674
Mailing address
4430 Van Amberg Rd
Brighton, MI 48114-8129
Phone (313) 215-4357
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Kidney Foundation of Michigan, Inc | Health Educator | Current | Accepting new patients |
Locations
1169 Oak Valley Dr
Ann Arbor, MI 48108
Phone (734) 222-9800
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.
-
- Health & Wellness Coach
- Ann Arbor, MI
- NPI 1932446721
Health Educator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1669050787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 VAN AMBERG RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481148129",
"telephone_number": "313-215-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 OAK VALLEY DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481089674",
"telephone_number": "734-222-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD-CUSUMANO",
"first_name": "PAMELA",
"middle_name": "JOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.