Active NPI
Shari Anne Nussdorfer
- Adult Mental Health Clinic/Center
- Okemos, MI
National Provider Identifier
1699420547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PRACTICEFUSION | Other |
National Provider Directory
National Provider DirectoryLocations
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.