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SHANNON KATHLEEN COUSINEAU NP
NPI 1588280663
Nurse Practitioner - Family in Fenton, MI

Active since June 24, 2020
14165 N FENTON RD STE 201A, FENTON, MI 48430(810) 853-5875 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2023, Jan 2, 2022, Dec 23, 2021 and 1 more (4 updates tracked since 2020).

About Shannon Kathleen Cousineau Np NPPES

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

SHANNON KATHLEEN COUSINEAU NP (NPI 1588280663) is an individual family provider in Fenton, Michigan, licensed in Michigan (4704348540) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1588280663
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON KATHLEEN COUSINEAUCredential: NP
Location Address14165 N FENTON RD STE 201AFenton, MI 48430-1584
Mailing Address4724 Green Meadow LnRochester, MI 48306-1754 · (847) 791-2015
Phone(810) 853-5875
Sole ProprietorNo
Enumeration DateJune 24, 2020
Last NPPES UpdateMay 15, 20234 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1588280663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704348540
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704348540 (MI)
14165 N FENTON RD STE 201A, Fenton, MI 48430
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Other Providers at the Same Location NPPES 3

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

ADVANCED MEDICAL HOUSE CALLS, PLC
Family Medicine (Adult Medicine)
14165 N FENTON RD STE 201A
FENTON, MI 48430
Genesee County (810) 853-5875
DR. HALEY NICOLE WANIC DNP, A-GNP
Nurse Practitioner
14165 N FENTON RD STE 201A
FENTON, MI 48430
Genesee County (810) 853-5875
AMY ELIZABETH TORREZ FNP
Nurse Practitioner (Family)
14165 N FENTON RD STE 201A
FENTON, MI 48430
Genesee County (810) 853-5875

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 Shannon Cousineau's NPI number?

The NPI number for Shannon Cousineau is 1588280663. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Shannon Cousineau located?

Shannon Cousineau practices at 14165 N Fenton Rd Ste 201A, Fenton, MI 48430. The listed phone number is (810) 853-5875.

What is Shannon Cousineau's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Cousineau was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.