CRYSTAL ANN SHAGENA (NPI# 1528677523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528677523 |
| Entity Type | Individual |
| Full Name | CRYSTAL ANN SHAGENA |
| Credential | FNP-BC |
| Practice Address |
9920 Lazy Oak Dr Carleton MI 48117-9643 |
| Practice Telephone | 7347555993 |
| Mailing Telephone | 7347555993 |
| Enumeration Date | 2020-07-25 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704261257 | MI | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704261257 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704261257 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9920 LAZY OAK DR |
| City | CARLETON |
| State | MI |
| Zip Code | 48117-9643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942726591 | Pamela J Brain-manchester | Massage Therapist | 12975 Matthews, Carleton, MI 48117 | 2017-08-16 |
| 1568919967 | Taeisha Rivera | Counselor | 620 Walnut, Carelton, MI 48117 | 2016-09-02 |
| 1457469819 | Carleton Drugs LLC | Pharmacy | 201 Medical Center Dr, Carleton, MI 48117 | 2006-08-27 |
| 1972056208 | Charles Ritter | Licensed Practical Nurse | 11705 Telegraph Rd, Carleton, MI 48117-9089 | 2016-08-03 |
| 1295376176 | Angel Phillip Zavala | Licensed Practical Nurse | 7412 Colf Rd, Carleton, MI 48117-9136 | 2019-10-02 |
| 1790177947 | Brittainy Barnes | Licensed Practical Nurse | 12514 Harris St, Carleton, MI 48117-9159 | 2015-02-25 |
| 1275988727 | Shaundra Deweese | Registered Nurse | 14626 Grafton Rd, Carleton, MI 48117-9220 | 2016-05-03 |
| 1235507658 | Rebecca Kapolnek | Licensed Practical Nurse | 12550 Burns Rd, Carleton, MI 48117-9372 | 2015-09-02 |
| 1194876623 | Adil Sarosh | Chiropractor | 1127 Monroe St, Carleton, MI 48117-9382 | 2007-01-12 |
| 1801432638 | Family Medical Center of Michigan,inc | Clinic/Center | 11270 Grafton Rd Rm 215, Carleton, MI 48117-9392 | 2019-11-27 |
| Find all providers in zip 48117 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
| 1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
| 1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
| 1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
| 1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
| 1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
| 1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
| 1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.