MS. SHIBA LASHON NIXON (NPI# 1679041545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679041545 |
| Entity Type | Individual |
| Full Name | MS. SHIBA LASHON NIXON |
| Credential | PMHNP |
| Practice Address |
New Oakland 6549 Town Center Suite A Clarkston MI 48346 |
| Mailing Address |
29781 Spring Hill Dr Southfield MI 48076-1859 |
| Practice Telephone | 2486206400 |
| Practice Fax Number | 2486206405 |
| Mailing Telephone | 3135509605 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704264372 | MI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704264372 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
NEW OAKLAND 6549 TOWN CENTER SUITE A |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| 1700117025 | Camela R. Ayoub Takach | Social Worker | 5840 Lorac, Suite 4, Clarkston, MI 48346 | 2010-01-26 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013290 | Bradley David Winter | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-11-04 |
| 1750981577 | Irene Gwen Voss | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-10-30 |
| 1306476809 | Kathleen M Frybarger | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2020-01-23 |
| 1659919819 | Mayche Vang-kue | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2019-12-18 |
| 1952878092 | Cody William Shinavier | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346 | 2018-10-26 |
| 1518485911 | Anthonia Chinedu Umelogu | Nurse Practitioner | 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 | 2017-09-06 |
| 1508234162 | Katherine Krajicek | Nurse Practitioner | 6549 Town Center Dr, Clarkston, MI 48346-4824 | 2015-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| 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.