Tracy Shmar Prosser, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

MI000054621 Issued in MI

Practice address

47059 Manhattan Cir
Novi, MI 48374-1832

Phone

(313) 808-0308

NPI assigned

Oct 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Shower Lady LLC

  • Home Health Aide
  • Novi, MI
  • NPI 1538917695
  NPD Authorized official

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1952063059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24875 NOVI RD UNIT 1344",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483767750",
            "telephone_number": "313-808-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47059 MANHATTAN CIR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741832",
            "telephone_number": "313-808-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "TRACY",
        "middle_name": "SHMAR",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "MI000054621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Primary Care PC
• Progressive Sleep Solutions PLLC
• Prohealth Chiropractic Associates PC
• Promed Preferred Mi 2, PLLC
• Thomas Mark Prose, M.D.
• Denise Patricia Provencher, PA-C
• Providence Hospital
• Providence Park Anesthesia Associates, PC
• Providence Park Internal Medicine PC
• Providence Ventures, LLC

• Nurse's Aide in Novi, MI
• Providers in Novi, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.