Individual provider Active NPI

Alicia Lee Michonski

  • Family Nurse Practitioner
  • West Springfield, MA
National Provider Identifier
1033932827
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2302792 Issued in MA
Practice address
373 Park St
West Springfield, MA 01089-3304
Phone
(413) 734-1001
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2302792 MA Primary

Addresses

Primary practice location

373 Park St
West Springfield, MA 01089-3304

Mailing address

7 Stratton Farms Rd
West Suffield, CT 06093-2924
Phone (413) 454-7724

Other practice location 1

477 Southwick Rd
Westfield, MA 01085-4734
Phone (413) 562-5256

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2302792MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Hampden County, Inc. PastSince Nov 3, 2024 Accepting new patients
Pediatric Associates of Hampden County PastSince Nov 3, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amichonski40737@direct.chppoc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1033932827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STRATTON FARMS RD",
            "city": "WEST SUFFIELD",
            "state": "CT",
            "postal_code": "060932924",
            "telephone_number": "413-454-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893304",
            "telephone_number": "413-734-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 Southwick Rd",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "MA",
            "postal_code": "010854734",
            "country_code": "US",
            "telephone_number": "413-562-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHONSKI",
        "first_name": "ALICIA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2302792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.