Active NPI
Marina L Sheyman, MSRD
- Registered Dietitian
- Farmington Hills, MI
National Provider Identifier
1801016662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00960888
- Practice address
- 30500 Northwestern Hwy # 316C
Farmington Hills, MI 48334-3159 - Phone
- (248) 539-8897
- Fax
- (248) 539-8940
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00960888 | MI | Primary |
Addresses
Primary practice location
30500 Northwestern Hwy # 316C
Farmington Hills, MI 48334-3159
Mailing address
30500 Northwestern Hwy # 316C
Farmington Hills, MI 48334-3159
Phone (248) 539-8897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00960888 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1801016662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30500 NORTHWESTERN HWY # 316C",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343159",
"telephone_number": "248-539-8897",
"fax_number": "248-539-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30500 NORTHWESTERN HWY # 316C",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343159",
"telephone_number": "248-539-8897",
"fax_number": "248-539-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEYMAN",
"first_name": "MARINA",
"middle_name": "L",
"credential": "MSRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "00960888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.