Shelly Adkins Sprain, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704177916 Issued in MI

Practice address

39350 9 Mile Rd
Northville, MI 48167-9164

Phone

(248) 760-6353

Fax

(248) 549-2601

NPI assigned

Aug 20, 2006

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

Enrolled in TN, WV, CO3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matrix Medical Network of West

  dba Matrix Medical Network

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1942569033

  WV

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CO, Nurse Practitioner, TN, WV

  Medicare reassignment NPD
• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  WV

  Medicare reassignment

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1790890515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 TRAFFORD RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732906",
            "telephone_number": "248-760-6353",
            "fax_number": "248-549-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39350 9 MILE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679164",
            "telephone_number": "248-760-6353",
            "fax_number": "248-549-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAIN",
        "first_name": "SHELLY",
        "middle_name": "ADKINS",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704177916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mary Smith, P.T.
• Shayla Smith
• A Mi Soh, M.D.
• Somebody Who Cares Destiny Empowerment Center
• Caitlyn Brianne Sorensen-Kowalski, PHD, LP, BCBA-LBA
• Sprout Healthy Habits, LLC
• Danielle Erin Stahlbaum, M.D.
• Christine Stanik, PHD
• Susannah Leigh Steele, PT
• Bridget Ann Sterk, FNP,BC

• Nurse Practitioner in Northville, MI
• Providers in Northville, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.