Active NPI
Meggan Shell
- Pediatrics Physician
- Flint, MI
National Provider Identifier
1912384512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301108256
- Practice address
- 806 Tuuri PL
Flint, MI 48503-2465 - Phone
- (810) 237-7572
- Fax
- (810) 237-7567
- NPI assigned
- May 3, 2015
- Last updated
- Feb 10, 2021
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 4301108256 | MI | Primary |
Addresses
Primary practice location
806 Tuuri PL
Flint, MI 48503-2465
Mailing address
806 Tuuri PL
Flint, MI 48503-2465
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301108256 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mott Children's Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Flint, MI
- NPI 1598760795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1912384512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 TUURI PL",
"city": "FLINT",
"state": "MI",
"postal_code": "485032465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 TUURI PL",
"city": "FLINT",
"state": "MI",
"postal_code": "485032465",
"telephone_number": "810-237-7572",
"fax_number": "810-237-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELL",
"first_name": "MEGGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-03",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301108256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.