Individual provider Active NPI

Marie Shoulders-Williams, FNP

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1851547038
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704177625 Issued in MI
Practice address
11600 E 7 Mile Rd
Detroit, MI 48205-2112
Phone
(313) 372-5974
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704177625 MI Primary

Addresses

Primary practice location

11600 E 7 Mile Rd
Detroit, MI 48205-2112

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 887-4806

Other practice location 1

611 Martin Luther King Jr Blvd
Detroit, MI 48201-2273
Phone (313) 832-6300 ext. 3140

Other names 1

  • Marie Shoulders-Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170712003843 MI Practitioner - Nurse Practitioner 9830468461 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Southeast Michigan Community Health Family CurrentSince Sep 10, 2021 Accepting new patients
Henry Ford Health System-School Based Health Initiative CurrentSince Dec 1, 2025 Accepting new patients
Henry Ford Southeast Michigan Community Health CurrentSince Sep 10, 2021 Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1000 Scotten St
Detroit, MI 48209
Phone (313) 457-2797

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

1726 Howard St
Detroit, MI 48216
Phone (313) 338-3740

11600 E 7 Mile Rd
Detroit, MI 48205
Phone (313) 372-5974

Interoperability endpoints

  • Direct secure messaging: mshoulderswilliams1151219@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1851547038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-887-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052112",
            "telephone_number": "313-372-5974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012273",
            "country_code": "US",
            "telephone_number": "313-832-6300 x3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOULDERS-WILLIAMS",
        "first_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704177625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "SHOULDERS-WILLIAMS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.