Active NPI
Erin Marie Shea, CPNP
- Pediatric Nurse Practitioner
- Grand Blanc, MI
National Provider Identifier
1821493115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 2244563
- Practice address
- 8273 S Saginaw St
Grand Blanc, MI 48439-2465 - Phone
- (810) 695-6565
- NPI assigned
- Oct 29, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2244563 | MI | Primary |
Addresses
Primary practice location
8273 S Saginaw St
Grand Blanc, MI 48439-2465
Mailing address
8273 S Saginaw St
Grand Blanc, MI 48439-2465
Phone (810) 695-6565
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2244563 | MI | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1821493115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8273 S SAGINAW ST",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392465",
"telephone_number": "810-695-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8273 S SAGINAW ST",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392465",
"telephone_number": "810-695-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "ERIN",
"middle_name": "MARIE",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "2244563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.