Active NPI
Michelle Paige Birdsall, FNP
- Nurse Practitioner
- Northridge, CA
National Provider Identifier
1013675073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95018773
- Practice address
- 18300 Roscoe Blvd
Northridge, CA 91325-4105 - Phone
- (818) 885-8500
- NPI assigned
- Dec 7, 2021
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95018773 | CA | Primary |
Addresses
Primary practice location
18300 Roscoe Blvd
Northridge, CA 91325-4105
Mailing address
1722 Rogers PL Unit 25E
Burbank, CA 91504-3668
Phone (407) 928-5206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95018773 | Other | CA | NURSE PRACTITIONER LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.birdsall@commonspirit.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018773 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- michelle.birdsall@commonspirit.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1013675073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 ROGERS PL UNIT 25E",
"city": "BURBANK",
"state": "CA",
"postal_code": "915043668",
"telephone_number": "407-928-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254105",
"telephone_number": "818-885-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRDSALL",
"first_name": "MICHELLE",
"middle_name": "PAIGE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2023-03-07",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95018773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE NUMBER",
"identifier": "95018773",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.birdsall@commonspirit.org",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "18300 Roscoe Blvd",
"city": "Northridge",
"state": "CA",
"country_code": "US",
"postal_code": "913254105",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.