SHADRACH ANDERSON
NPI 1679383954
Licensed Practical Nurse in Farmington Hills, MI

Active since January 09, 2025
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334(866) 476-5837 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shadrach Anderson NPPES

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

SHADRACH ANDERSON (NPI 1679383954) is an individual licensed practical nurse in Farmington Hills, Michigan, licensed in Michigan (4703130343) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1679383954
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameSHADRACH ANDERSON
Location Address27777 INKSTER RD STE 100Farmington Hills, MI 48334-5312
Mailing Address27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Sole ProprietorNo
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
NPI 1679383954 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 · 4703130343
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.
27777 INKSTER RD STE 100, Farmington Hills, MI 48334

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.

Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Analyst
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334

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 Shadrach Anderson's NPI number?

The NPI number for Shadrach Anderson is 1679383954. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Shadrach Anderson located?

Shadrach Anderson practices at 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334. The listed phone number is (866) 476-5837.

What is Shadrach Anderson'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 Shadrach Anderson was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.