Organization Active NPI

Shari Anne Nussdorfer

  • Adult Mental Health Clinic/Center
  • Okemos, MI
National Provider Identifier
1699420547
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SHARI ANNE NUSSDORFER
Practice address
4084 Okemos Rd Ste a
Okemos, MI 48864-3258
Phone
(517) 347-4848
Fax
(517) 347-4844
NPI assigned
Feb 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Shari Anne Nussdorfer, APRN, CNP
Title
Psychiatric Nurse Practitioner
Phone
(517) 347-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4084 Okemos Rd Ste a
Okemos, MI 48864-3258

Mailing address

4084 Okemos Rd Ste a
Okemos, MI 48864-3258
Phone (517) 347-4848

Other names 1

  • SHARI ANNE NUSSDORFER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PRACTICEFUSION Other

National Provider Directory

National Provider Directory

Locations

4084 Okemos Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4848

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699420547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 OKEMOS RD STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643258",
            "telephone_number": "517-347-4848",
            "fax_number": "517-347-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 OKEMOS RD STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643258",
            "telephone_number": "517-347-4848",
            "fax_number": "517-347-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI ANNE NUSSDORFER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "NUSSDORFER",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "517-347-4848",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PRACTICEFUSION",
            "affiliation": "N",
            "endpointDescription": "PATIENT PORTAL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "COMMUNICATION",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4084 Okemos Rd Ste A",
            "city": "Okemos",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488643258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SHARI ANNE NUSSDORFER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.