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DR. SHANNON STURGEON DE LA VIA DO
NPI 1619663788
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 12, 2023PECOS Enrolled
4201 ST. ANTOINE, UHC-9C, DETROIT, MI 48201(313) 745-5147 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shannon Sturgeon De La Via Do NPPES

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

DR. SHANNON STURGEON DE LA VIA DO (NPI 1619663788) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619663788
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHANNON STURGEON DE LA VIACredential: DO
Location Address4201 ST. ANTOINE, UHC-9CDetroit, MI 48201
Mailing Address17230 Yellow Rose WayParker, CO 80134-8991 · (703) 357-5039
Phone(313) 745-5147
Sole ProprietorNo
Enumeration DateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1619663788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 ST. ANTOINE, Detroit, MI 48201
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Other Names 1

Former Name (1)Shannon Nicole Sturgeon

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Sturgeon De La Via Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

CONNOR J O'BOYLE MD
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, 5E-UHC
DETROIT, MI 48201
Wayne County (313) 577-0714
ELIZABETH ANN KUPSER
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C DETROIT MEDICAL CENTER- GME OFFICE
DETROIT, MI 48201
Wayne County (313) 745-5147
AHMED AL KHALIFA M.D
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC-9C
DETROIT, MI 48201
Wayne County (313) 745-5533
JUAN SEBASTIAN RIVERA BECERRA M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE, UHC 9C
DETROIT, MI 48201
Wayne County (313) 745-6047
CHRISTINA CAON CNP
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, SUITE 8A
DETROIT, MI 48201
Wayne County (313) 745-4275
LISABETTE SUE LITTSEY NP
Nurse Practitioner (Adult Health)
4201 ST. ANTOINE, UHC
DETROIT, MI 48201
Wayne County (313) 745-2554
MUHAMMAD MEHRAIZ KHAN M.D.
Student in an Organized Health Care Education/Training Program
4201 ST. ANTOINE
DETROIT, MI 48201
Wayne County (315) 577-5310
MR. WALID MOHAMED NAGEIB IBRAHIM M.D
Internal Medicine
4201 ST. ANTOINE, UHC-2E
DETROIT, MI 48201
Wayne County (313) 745-4832

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 De La Via's NPI number?

The NPI number for Shannon De La Via is 1619663788. It was assigned to this individual provider in the NPPES registry on April 12, 2023. The provider is also known as Shannon Nicole Sturgeon.

Where is Shannon De La Via located?

Shannon De La Via practices at 4201 St. Antoine Uhc-9c, Detroit, MI 48201. The listed phone number is (313) 745-5147.

What is Shannon De La Via's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shannon De La Via enrolled in Medicare?

Yes. Shannon De La Via is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon De La Via was last updated on April 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.