Individual provider Active NPI

Michelle Lynn Fear, REGISTERED NURSE

  • Registered Nurse
  • Parsonsburg, MD
National Provider Identifier
1073116109
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R151971 Issued in MD
Practice address
33626 Dagsboro Rd
Parsonsburg, MD 21849-2576
Phone
(717) 686-2826
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R151971 MD Primary

Addresses

Primary practice location

33626 Dagsboro Rd
Parsonsburg, MD 21849-2576

Mailing address

33626 Dagsboro Rd
Parsonsburg, MD 21849-2576
Phone (717) 686-2826

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Michellefear26@gmail.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
R151971MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1073116109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33626 DAGSBORO RD",
            "city": "PARSONSBURG",
            "state": "MD",
            "postal_code": "218492576",
            "telephone_number": "717-686-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33626 DAGSBORO RD",
            "city": "PARSONSBURG",
            "state": "MD",
            "postal_code": "218492576",
            "telephone_number": "717-686-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAR",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R151971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Michellefear26@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Professional email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33626 Dagsboro Rd",
            "city": "Parsonsburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218492576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parsonsburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.