SHAWNA DAVELLA DIETRICK
NPI 1154955219
Respite Care - Respite Care, Physical Disabilities, Child in Romulus, MI

Q: What is Shawna Dietrick's NPI number?

The NPI number for Shawna Dietrick is 1154955219. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Q: What is Shawna Dietrick's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Physical Disabilities, Child, with taxonomy code 385HR2065X.

Q: When was this NPI record last updated?

The NPPES record for Shawna Dietrick was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 27, 2020

35675 GARNER ST, ROMULUS, MI 48174(810) 308-7991 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shawna Davella Dietrick NPPES

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

SHAWNA DAVELLA DIETRICK (NPI 1154955219) is an individual respite care, physical disabilities, child provider in Romulus, Michigan, licensed in Michigan (D362765135841) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1154955219

Entity TypeIndividualFemale

Primary Taxonomy385HR2065X

Provider Legal NameSHAWNA DAVELLA DIETRICK

Location Address35675 GARNER STRomulus, MI 48174-4129

Mailing AddressPo Box 74083Romulus, MI 48174-0083 · (810) 308-7991

Phone(810) 308-7991

Sole ProprietorYes

Enumeration DateFebruary 27, 2020

✔ NPI 1154955219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Physical Disabilities, ChildRespite Care Facility

Taxonomy Code385HR2065X

License✔ Licensed in MI · D362765135841

Definition

A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

35675 GARNER ST, Romulus, MI 48174

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Other Identifiers 1

OtherD362765135841MI · Identification

Other Providers at the Same Location NPPES

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

GRACIOUS BY YOUR SIDE LLC

Community/Behavioral Health

35675 GARNER ST
ROMULUS, MI 48174

Wayne County (810) 308-7991

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 Shawna Dietrick's NPI number?

The NPI number for Shawna Dietrick is 1154955219. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Shawna Dietrick located?

Shawna Dietrick practices at 35675 Garner St, Romulus, MI 48174. The listed phone number is (810) 308-7991.

What is Shawna Dietrick's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Physical Disabilities, Child, with taxonomy code 385HR2065X.

When was this NPI record last updated?

The NPPES record for Shawna Dietrick was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.