Individual provider Active NPI

Michelle D Howland, PA-C

  • Physician Assistant
  • Avondale, AZ
National Provider Identifier
1063513414
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3061 Issued in AZ
Practice address
13065 W McDowell Rd Ste C130
Avondale, AZ 85392-6448
Phone
(623) 932-5042
Fax
(623) 846-7575
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3061 AZ Primary

Addresses

Primary practice location

13065 W McDowell Rd Ste C130
Avondale, AZ 85392-6448

Mailing address

15407 W Meadowbrook Ave
Goodyear, AZ 85395-6395
Phone (602) 741-4886

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3061AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Scottsdale Pediatric Associates PastSince Feb 25, 2024 Accepting new patients
Rachel Langland MD PC Past Accepting new patients
Maryvale Pediatric Clinic Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michellepac@mvpkidscare.opdirect.net

Organizations & group practices 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1063513414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15407 W MEADOWBROOK AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853956395",
            "telephone_number": "602-741-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13065 W MCDOWELL RD STE C130",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926448",
            "telephone_number": "623-932-5042",
            "fax_number": "623-846-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWLAND",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.