Active NPI
Jennifer Lynn Michalke, WHNP
- Ambulatory Women's Health Care Registered Nurse
- Springfield, VT
National Provider Identifier
1043353733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 1010023368
- Practice address
- 25 Ridgewood Rd
Springfield, VT 05156-3050 - Phone
- (802) 885-2151
- NPI assigned
- Feb 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 420812 | NY | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 1010023368 | VT | Primary |
Addresses
Primary practice location
25 Ridgewood Rd
Springfield, VT 05156-3050
Mailing address
25 Ridgewood Rd
Springfield, VT 05156-3050
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 420812 | NY | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1043353733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 RIDGEWOOD RD",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 RIDGEWOOD RD",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563050",
"telephone_number": "802-885-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALKE",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "420812",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "VT",
"license": "1010023368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.