Individual provider Active NPI

Michelle Lee Sloan, APRN, FNP-C

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1083117329
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23851 Issued in TN
Practice address
588 Fortress Blvd
Murfreesboro, TN 37128-4128
Phone
(615) 410-9360
Fax
(615) 893-4021
NPI assigned
Mar 13, 2018
Last updated
May 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23851 TN Primary

Addresses

Primary practice location

588 Fortress Blvd
Murfreesboro, TN 37128-4128

Mailing address

3726 Manson Pike Apt 1112
Murfreesboro, TN 37129-3144
Phone (615) 557-2549

Other practice location 1

983 Nissan Dr
Smyrna, TN 37167-4405
Phone (615) 459-1944

Other names 1

  • Michelle Lee Fonseca Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125001614 TN Practitioner - Nurse Practitioner 0042602021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23851TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Medical Past Accepting new patients
Comprehensive Health Services Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1083117329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 MANSON PIKE APT 1112",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293144",
            "telephone_number": "615-557-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 FORTRESS BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284128",
            "telephone_number": "615-410-9360",
            "fax_number": "615-893-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983 Nissan Dr",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371674405",
            "country_code": "US",
            "telephone_number": "615-459-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "FONSECA",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.