Kesia Elise Shine, ND, MBA, BSHA/IS is a
Naturopath based in Detroit, Michigan. Kesia Elise Shine is licensed to practice in * (Not Available) (license number ) and her current practice location is
15781 Wildemere St, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(602) 460-7635.
NPI number for Kesia Elise Shine is 1043007586 and her current mailing address is 15781 Wildemere St, Detroit, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043007586.
Healthcare Provider's Profile
| Full Name | Kesia Elise Shine |
|---|
| Gender | Female |
|---|
| Speciality | Naturopath |
|---|
| Location | 15781 Wildemere St, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043007586
- Provider Enumeration Date: 04/21/2025
- Last Update Date: 04/21/2025
Medical Identifiers
Medical identifiers for Kesia Elise Shine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043007586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Secondary |
| 372500000X | Chore Provider | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 374K00000X | Religious Nonmedical Practitioner | (* (Not Available)) | Secondary |
| 374T00000X | Religious Nonmedical Nursing Personnel | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 282J00000X | Religious Nonmedical Health Care Institution | (* (Not Available)) | Secondary |
| 171WH0202X | Contractor - Home Modifications | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 174V00000X | Clinical Ethicist | (* (Not Available)) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kesia Elise Shine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kesia Elise Shine, ND, MBA, BSHA/IS
15781 Wildemere St,
Detroit, MI 48238-1439
Ph: (602) 460-7635 | Kesia Elise Shine, ND, MBA, BSHA/IS
15781 Wildemere St,
Detroit, MI 48238-1439
Ph: (602) 460-7635 |
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