Active NPI
Emily Michelle Rice-Shattuck
- Certified Registered Nurse Anesthetist
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704313805
- Practice address
- 900 Peeler St Ste B
Kalamazoo, MI 49008-2380 - Phone
- (269) 345-8618
- Fax
- (269) 345-1508
- NPI assigned
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704313805 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704313805 | MI | Primary |
Addresses
Primary practice location
900 Peeler St Ste B
Kalamazoo, MI 49008-2380
Mailing address
PO Box 4095
Kalamazoo, MI 49003-4095
Phone (269) 345-8618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704313805 | Other | MI | MI LICENSE |
Other names 1
- Emily Michelle Rice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7000
900 Peeler St
Kalamazoo, MI 49008-2300
Phone (269) 345-8618
Hospital & facility affiliations
- Bronson Methodist Hospital
- Borgess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704313805 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Kalamazoo Anesthesiology P C | Current | Accepting new patients | |
| Candace W Ross PHD LLC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients |
Locations
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
900 Peeler St
Ste B
Kalamazoo, MI 49008
Phone (269) 345-8618
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Kalamazoo, MI
- NPI 1407821796
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Counseling Psychologist
- Kalamazoo, MI
- NPI 1336682988
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1801428560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4095",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490034095",
"telephone_number": "269-345-8618",
"fax_number": "269-345-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PEELER ST STE B",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082380",
"telephone_number": "269-345-8618",
"fax_number": "269-345-1508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE-SHATTUCK",
"first_name": "EMILY",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704313805",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704313805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI LICENSE",
"identifier": "4704313805",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "RICE",
"middle_name": "MICHELLE",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.