Active NPI
Shannetta L Houze-Dixon, DNP, FNP-BC
- Family Nurse Practitioner
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704308259
- Practice address
- 880 W Long Lake Rd
Troy, MI 48098-4504 - Phone
- (888) 562-5442
- NPI assigned
- Feb 8, 2022
- Last updated
- Aug 8, 2022
- 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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704308259 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Michigan PLLC | Current | Accepting new patients | |
| LTC Physician Care PC | Current | Accepting new patients | |
| Easy Health Medical Solutions PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1609569169
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1659921278
-
- Geriatric Medicine (Family Medicine) Physician
- Bingham Farms, MI
- NPI 1841991817
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
MI
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.