Michelle R Dehan, RN, ACNP

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

719082 Issued in TX

Practice address

1550 Moores LN
Texarkana, TX 75503-4657

Phone

(903) 793-7378

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle R Blaine Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1043322696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034657",
            "telephone_number": "903-793-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034657",
            "telephone_number": "903-793-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAN",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RN, ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "719082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BLAINE",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Renee De Los Santos, LMT MMP
• Cassaundra Ann Dearinger, COTA
• Cheryl Anne Decaprio, FNP
• Jeffrey David Decaprio, MD
• Victoria Degroot, PHARMD
• Dennis D Obanion MD
• Dentistry of Brownsville, PC
• Joan R Deprato, LVN
• Dept of Assistive & Rehab Serv - Texarkana Field Office
• Dermatology Associates LLP

• Pulmonary Disease Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.