SHANNA ROBERTS
NPI 1417401704
Licensed Practical Nurse in Detroit, MI

Q: What is Shanna Roberts's NPI number?

The NPI number for Shanna Roberts is 1417401704. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Q: What is Shanna Roberts's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shanna Roberts was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 04, 2016

9366 MANSFIELD ST, DETROIT, MI 48228(313) 879-8546 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shanna Roberts NPPES

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

SHANNA ROBERTS (NPI 1417401704) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703111951) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1417401704

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHANNA ROBERTS

Location Address9366 MANSFIELD STDetroit, MI 48228-2197

Mailing Address9366 Mansfield StDetroit, MI 48228-2197 · (313) 879-8546

Phone(313) 879-8546

Sole ProprietorNo

Enumeration DateAugust 4, 2016

✔ NPI 1417401704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703111951

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

9366 MANSFIELD ST, Detroit, MI 48228

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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 Shanna Roberts's NPI number?

The NPI number for Shanna Roberts is 1417401704. It was assigned to this individual provider in the NPPES registry on August 4, 2016.

Where is Shanna Roberts located?

Shanna Roberts practices at 9366 Mansfield St, Detroit, MI 48228. The listed phone number is (313) 879-8546.

What is Shanna Roberts's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shanna Roberts was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.