Michelle Jeanette Ivery-Wilson, REGISTERED NURSE(RN)

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN398412 Issued in OH

Practice address

318 Hollencamp Ave
Dayton, OH 45417-9029

Phone

(937) 397-0334

NPI assigned

Jul 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1003292079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 MELBOURNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45417",
            "telephone_number": "937-397-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 HOLLENCAMP AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454179029",
            "telephone_number": "937-397-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERY-WILSON",
        "first_name": "MICHELLE",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE(RN)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "398412",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN398412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulsara Iskandarova
• Megan R Islamovsky, MSN
• Pamela Denise Isreal
• It'S Levels, LLC
• Peter Iversen
• Adderly Ivery
• Ericka Ivory
• Karen Ann Ivory
• Lamica Ivory
• Ravyn Ivory, LPN

• Registered Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.