Shantaya McDaniel
Individual provider Active NPI Licensed Practical Nurse · Orion, MI
NPI 1700749306 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1700749306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703130918 (MI)
- Practice address
- 4866 Broomfield Way
Orion, MI 48359-1957 - Phone
- (248) 221-9638
- NPI assigned
- Dec 9, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703130918 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703130918 | MI | Yes |
Addresses
Primary practice location
4866 Broomfield Way
Orion, MI 48359-1957
Mailing address
4866 Broomfield Way
Orion, MI 48359-1957
Other providers in Orion, MI
- Jacob Dennis Lauka
- Aspasia Connie Machnacki
- Mary Jo K. Voelpel DO PC
- Mary Jo Voelpel DO Facoi PC
- Maryjo Voelpel DO Facoi PC
- Warren Meehan
- Kara Ashley Miller
- Angela Charice Moore
- Christine Moran
- Daniel Notter
All providers in Orion, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.