Active NPI
Alicia Lee Michonski
- Family Nurse Practitioner
- West Springfield, MA
National Provider Identifier
1033932827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2302792
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2302792 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Hampden County, Inc. | Past | Accepting new patients | |
| Pediatric Associates of Hampden County | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- West Springfield, MA
- NPI 1689729857
-
- Pediatrics Physician
- Westfield, MA
- NPI 1649336850
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.