Individual provider Active NPI

Michelle L Fox, NP

  • Gerontology Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1003243148
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN01816 Issued in RI
Practice address
215 Toll Gate Rd Ste 104
Warwick, RI 02886-4463
Phone
(401) 921-7290
Fax
(401) 921-6194
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X APRN01816 RI
Gerontology Nurse Practitioner 363LG0600X APRN01816 RI Primary

Addresses

Primary practice location

215 Toll Gate Rd Ste 104
Warwick, RI 02886-4463

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 273-0641

Other identifiers 1

IdentifierTypeStateIssuer
APRN01816OtherRILICENSE

Other names 1

  • Michelle L Westbook Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mifox@kent.cernerdirect.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, RI, NY, MA, OH5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20141219001909 IN Practitioner - Nurse Practitioner 7315160504 Reassigns benefits to 1 organization
I20210810003084 RI Practitioner - Nurse Practitioner 7315160504 Reassigns benefits to 2 organizations
I20250306002825 NY Practitioner - Nurse Practitioner 7315160504
I20250321000708 MA Practitioner - Nurse Practitioner 7315160504
I20250506001375 OH Practitioner - Nurse Practitioner 7315160504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Care CurrentSince Jan 1, 2024 Accepting new patients
Patient Care Services Team Gerontology CurrentSince Mar 8, 2015 Accepting new patients
Avenir Ventures LLC CurrentSince Sep 20, 2021 Accepting new patients
Northwest Community Health Care CurrentSince Jan 1, 2024 Accepting new patients
Avenir Ventures, L.L.C. CurrentSince Sep 20, 2021 Accepting new patients
Oak Street Health Physicians Group, PC PastSince Mar 13, 2017 Accepting new patients

Locations

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

1 Catamore Blvd
East Providence, RI 02914
Phone (401) 438-0008

308 Callahan Rd
North Kingstown, RI 02852
Phone (401) 295-9706

36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1003243148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD STE 104",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864463",
            "telephone_number": "401-921-7290",
            "fax_number": "401-921-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "RI",
            "license": "APRN01816",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN01816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN01816",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mifox@kent.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "215 Toll Gate Rd Ste 104",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028864463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WESTBOOK",
            "middle_name": "L",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.