Individual provider Active NPI

Janice J Michaud, CPNP

  • Pediatric Nurse Practitioner
  • Stratham, NH
National Provider Identifier
1003875162
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0359282302 Issued in NH
Practice address
118 Portsmouth Ave BLDG D
Stratham, NH 03885
Phone
(603) 658-1823
Fax
(603) 658-1824
NPI assigned
Mar 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0359282302 NH Primary

Addresses

Primary practice location

118 Portsmouth Ave BLDG D
Stratham, NH 03885

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 658-1823

Other identifiers 1

IdentifierTypeStateIssuer
3076917MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000131 NH Practitioner - Nurse Practitioner 9032196316 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0359282302NHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians, LLC CurrentSince Jul 6, 2010 Accepting new patients
Core Physicians LLC CurrentSince Jul 6, 2010 Accepting new patients

Locations

212 Calef Hwy
#1
Epping, NH 03042

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Holland Way
#1
Exeter, NH 03833

9 Buzell Ave
Exeter, NH 03833
Phone (603) 772-8900

118 Portsmouth Ave
Bldg D
Stratham, NH 03885
Phone (603) 658-1823

118 Portsmouth Ave
Ste 1
Stratham, NH 03885
Phone (603) 772-7764

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jmichaud523931@direct.bilh.masshiway.net

Organizations & group practices 2

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": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1003875162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLLAND WAY FL 1",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332997",
            "telephone_number": "603-658-1823",
            "fax_number": "603-658-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PORTSMOUTH AVE BLDG D",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "03885",
            "telephone_number": "603-658-1823",
            "fax_number": "603-658-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "JANICE",
        "middle_name": "J",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NH",
            "license": "0359282302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076917",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

Verify at the official NPI Registry.