PRINCE TYRO SHANNON
NPI 1467016584
Case Manager/Care Coordinator in Redford, MI

Q: What is Prince Shannon's NPI number?

The NPI number for Prince Shannon is 1467016584. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Q: What is Prince Shannon's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Prince Shannon was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 April 24, 2019

9315 TELEGRAPH RD, REDFORD, MI 48239(248) 513-5760 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2026, Dec 29, 2022, Apr 24, 2019 (3 updates tracked since 2019).

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About Prince Tyro Shannon NPPES

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

PRINCE TYRO SHANNON (NPI 1467016584) is an individual case manager/care coordinator provider in Redford, Michigan, licensed in Michigan (175T00000X-PEER) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1467016584

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NamePRINCE TYRO SHANNON

Location Address9315 TELEGRAPH RDRedford, MI 48239-1260

Mailing Address9315 Telegraph RdRedford, MI 48239-1260 · (248) 513-5760

Phone(248) 513-5760

Sole ProprietorNo

Enumeration DateApril 24, 2019

Last NPPES UpdateMay 5, 20263 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1467016584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in MI · 175T00000X-PEER

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

9315 TELEGRAPH RD, Redford, MI 48239

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Other Identifiers 1

Medicaid175T00000X-PEERMI

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)