Individual provider Active NPI

Michelle Lorraine Kalinas, RN,BSN,CCRC

  • Registered Nurse
  • Perrysburg, OH
National Provider Identifier
1083338784
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.255692 Issued in OH
Practice address
9605 Bishopswood LN
Perrysburg, OH 43551-2620
Phone
(419) 874-4989
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 RN.255692 OH Primary

Addresses

Primary practice location

9605 Bishopswood LN
Perrysburg, OH 43551-2620

Mailing address

9605 Bishopswood LN
Perrysburg, OH 43551-2620
Phone (419) 874-4989

Other names 1

  • Michelle Lorraine Hickam Other name

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.255692OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1083338784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 BISHOPSWOOD LN",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512620",
            "telephone_number": "419-874-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 BISHOPSWOOD LN",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512620",
            "telephone_number": "419-874-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINAS",
        "first_name": "MICHELLE",
        "middle_name": "LORRAINE",
        "credential": "RN,BSN,CCRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.255692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HICKAM",
            "middle_name": "LORRAINE",
            "credential": "RN,BSN,CCRC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.