DR. SHARON BLACKSHIRE-TUBIE FNP-BC NPI 1245764737

NPI Information

  • NPI: 1245764737
  • Provider Name: DR. SHARON BLACKSHIRE-TUBIE, FNP-BC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20755 GREENFIELD RD
    #203
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 395-2206

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NPI Details

DR. Sharon Blackshire-tubie, FNP-BC is a primary care nurse practitioner in Southfield, MI. DR. Sharon Blackshire-tubie, FNP-BC NPI is 1245764737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20755 GREENFIELD RD
#203
SOUTHFIELD, MI
ZIP 48075-403
Phone: (248) 395-2206
Fax: (248) 395-0456

The NPI 1245764737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 3/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology4704242202MICHIGANNo
2363LA2200XNurse PractitionerAdult Health4704242202MICHIGANNo
3363LF0000XNurse PractitionerFamily4704242202MICHIGANNo
4363LP2300XNurse PractitionerPrimary Care4704242202MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14341231MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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