DOLORES SHANK (NPI# 1952712598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952712598 |
Entity Type | Individual |
Full Name | DOLORES SHANK |
Credential | RN |
Practice Address |
17141 Ryan Rd Detroit MI 48212-1112 |
Mailing Address |
370 W Dawson Rd Milford MI 48381-2709 |
Practice Telephone | 3137334860 |
Mailing Telephone | 2486852197 |
Enumeration Date | 2014-05-16 |
Last Update Date | 2014-05-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704209742 | MI | Nursing Service Providers |
Street Address |
17141 RYAN RD |
City | DETROIT |
State | MI |
Zip Code | 48212-1112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841204641 | The Adult Psychiatric Clinic | Counselor | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2006-07-28 |
1376057828 | Lori Lennon | Peer Specialist | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2017-11-20 |
1285010462 | Brandon Luke | Technician, Other | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2015-08-10 |
1952780611 | Krupa Mehta | Case Manager/Care Coordinator | 17141 Ryan Rd, Detroit, MI 48212 | 2015-05-27 |
1609275650 | Layna Johnson | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-08-15 |
1720496565 | Charles Vincent Ramsey | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-07-24 |
1528475902 | Alicia Scher | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-07-17 |
1700209913 | Claudia Jean-pierre | Counselor | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-23 |
1821410291 | Celestine Spruille | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-20 |
1992127534 | Donna Fellman | Registered Nurse | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
Find all providers in zip 48212 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194050005 | William Adam Beluzo IIi | Registered Nurse | 10001 Puritan St, Detroit, MI 48238-1056 | 2009-10-09 |
1831311976 | Cynthia Ruth Saxton | Registered Nurse | 406 Eastlawn St, Detroit, MI 48215-3031 | 2007-05-02 |
1508473463 | Aarin-earl Pesko-morales | Registered Nurse | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-09-24 |
1508482449 | Rhonda Gardner | Registered Nurse | 3646 Mount Elliott St, Detroit, MI 48207-2311 | 2020-06-16 |
1417587080 | Cynethia Collins | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2020-01-22 |
1609369396 | Rebecca Leigh Pinter | Registered Nurse | 1221 E Grand Blvd, Detroit, MI 48211-3428 | 2018-06-07 |
1467989053 | Dennis Wayne Simpson | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2017-05-15 |
1821478587 | Reta Vanhooks | Registered Nurse | 8600 Woodward Ave, Detroit, MI 48202-2142 | 2015-06-08 |
1104234913 | Margaret Easley | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2014-07-24 |
1346663804 | Heather Anthony | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2014-02-03 |
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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.