MISS SHANNON KIRSTEN WEBSTER PA-C NPI 1790006682

NPI Information

NPI: 1790006682
Provider Name: MISS SHANNON KIRSTEN WEBSTER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
911 E 9 MILE RD
FERNDALE, MI
ZIP 48220
Phone: (248) 336-4000
Get Directions

MISS Shannon Kirsten Webster, PA-C is a medical physician assistant in Ferndale, MI. MISS Shannon Kirsten Webster, PA-C NPI is 1790006682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

911 E 9 MILE RD
FERNDALE, MI
ZIP 48220-934
Phone: (248) 336-4000
Fax: (248) 336-9137

The NPI 1790006682 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2010 and was last updated on 10/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133V00000X	Dietitian, Registered		5601005506	MICHIGAN	No
2	363AM0700X	Physician Assistant	Medical	5601005506	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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