1. Home
  2. Directory
  3. Michigan
  4. Redford
  5. Nurse Practitioner
  6. NPI Profile

DR. KELLY SUSEWITZ SHAKOOR FNP-BC
NPI 1043794829
Nurse Practitioner - Family in Redford, MI

Active since September 18, 2018
9315 TELEGRAPH RD, REDFORD, MI 48239(313) 450-4500 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2019, Sep 18, 2018 (2 updates tracked since 2018).

About Dr. Kelly Susewitz Shakoor Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY SUSEWITZ SHAKOOR FNP-BC (NPI 1043794829) is an individual family provider in Redford, Michigan, licensed in Michigan (4704239124) and active in the NPI registry since September 2018. She maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1043794829
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KELLY SUSEWITZ SHAKOORCredential: FNP-BC
Location Address9315 TELEGRAPH RDRedford, MI 48239-1260
Mailing Address4169 Kingston StDearborn Heights, MI 48125-3237 · (734) 306-8586
Phone(313) 450-4500
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
✔ NPI 1043794829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704239124
9315 TELEGRAPH RD, Redford, MI 48239
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 N Ingalls StAnn Arbor, MI 48109-2003 · Phone (734) 763-5985

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONET ROBINSON
Counselor (Mental Health)
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
STEPHANIE ANN BALSER RN
Registered Nurse (General Practice)
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
RICHARD ALLAN WARNER
Peer Specialist
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
RONDA JACKSON
Student in an Organized Health Care Education/Training Program
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
MR. DEREK THOMAS ROSEN MA/LLP
Psychologist
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (180) 045-0450
AMY NEFF
Registered Nurse
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
CHRISTINE ELIZABETH MAUGHAN
Behavior Technician
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (734) 450-4500
ABIGAIL DAWSON
Social Worker (Clinical)
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Shakoor's NPI number?

The NPI number for Kelly Shakoor is 1043794829. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Kelly Shakoor located?

Kelly Shakoor practices at 9315 Telegraph Rd, Redford, MI 48239. The listed phone number is (313) 450-4500.

What is Kelly Shakoor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Kelly Shakoor accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kelly Shakoor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Shakoor was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.