Individual provider Active NPI

Shannetta L Houze-Dixon, DNP, FNP-BC

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1891449930
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704308259 Issued in MI
Practice address
880 W Long Lake Rd
Troy, MI 48098-4504
Phone
(888) 562-5442
NPI assigned
Feb 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 4704308259 MI Primary

Addresses

Primary practice location

880 W Long Lake Rd
Troy, MI 48098-4504

Mailing address

PO Box 87742
Canton, MI 48187-0742
Phone (734) 756-0877

Other names 1

  • Dr. Shannetta L Houze-Dixon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220223002038 MI Practitioner - Nurse Practitioner 1355735093 Reassigns benefits to 4 organizations
I20250220003574 CA Practitioner - Nurse Practitioner 1355735093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH MSSP Services Mi PLLCGroup PAC ID 2961862800, 44 clinicians

Practice addresses (Care Compare)

2102 Orleans St
Detroit, MI 48207-2769
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704308259MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Michigan PLLC CurrentSince Feb 21, 2024 Accepting new patients
LTC Physician Care PC CurrentSince Jan 24, 2024 Accepting new patients
Easy Health Medical Solutions PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024

1180 S Beverly Dr
Ste 700
Los Angeles, CA 90035
Phone (213) 584-2331

18200 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 647-6500

15063 Gratiot Ave
Detroit, MI 48205
Phone (313) 372-4065

2102 Orleans St
Detroit, MI 48207
Phone (313) 462-4362

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

3830 Okemos Rd
Okemos, MI 48864
Phone (517) 706-0300

2060 Health Dr SW
Wyoming, MI 49519
Phone (616) 333-1200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1891449930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87742",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481870742",
            "telephone_number": "734-756-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984504",
            "telephone_number": "888-562-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUZE-DIXON",
        "first_name": "SHANNETTA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704308259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNETTA",
            "last_name": "HOUZE-DIXON",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DNP, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.