Shanita Blevins, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

4704343996 Issued in MI

Practice address

19962 Ferguson St
Detroit, MI 48235-2431

Phone

(313) 352-2774

NPI assigned

May 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1770105389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19962 FERGUSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19962 FERGUSON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352431",
            "telephone_number": "313-352-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "SHANITA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704343996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessings Medical Center PC
• James Emanuel Blessman Jr., MD
• Alexandria L Blevins, NNP-BC
• Daniel Blevins
• Desiree Lynette Blevins
• Austin Blicher
• Blinder Therapy & Wellness PLLC
• Benjamin E Blinder, LMSW
• BLK Non Medical Transportation
• Craig Alan Bloch, MD

• Home Health Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.