Michelle Lorraine Pardee, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704169272 Issued in MI

Practice address

19275 Northline Rd
Southgate, MI 48195-2220

Phone

(734) 287-2076

Fax

(734) 287-2731

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oakwood Healthcare Group II, LLC

  • Ambulatory Family Planning Facility
  • Southgate, MI
  • NPI 1548307945
  NPD (past)
• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1083708200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N INGALLS ST",
            "address_2": "#3185",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092003",
            "telephone_number": "734-647-0132",
            "fax_number": "734-647-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19275 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952220",
            "telephone_number": "734-287-2076",
            "fax_number": "734-287-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDEE",
        "first_name": "MICHELLE",
        "middle_name": "LORRAINE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704169272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4585836",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5008600970",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4631456",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4810116",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Padma Padival
• Brittany Nicole Page, LLMSW
• Sherelle J Palmer, LLMSW
• Joshua Paul Panter, LMSW
• Melissa Ann Panter
• Amy Parenteau, NP-C
• Jacqueline Diane Parks, MA, TLLP
• Jamiah Shanae' Parks
• Parmod K Mukhi, MD, PC
• Erma Jean Parnell

• Family Nurse Practitioner in Southgate, MI
• Providers in Southgate, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.