Michele C Misener, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

Practice address

3230 Peacekeeper Way
McClellan, CA 95652-2600

Phone

(916) 830-1521

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104036151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 VOLEYN ST",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082860",
            "telephone_number": "916-830-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 PEACEKEEPER WAY",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956522600",
            "telephone_number": "916-830-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISENER",
        "first_name": "MICHELE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valisha Melchor
• Julius Franklin Metts, M.D.
• Frederick Michael Meyer, O.D. (OPTOMETRIST)
• Karen Gail Miles, BSN
• Robert Edward Miller, RN
• Tara Ann Miskovich, PHD
• Janice Joy Monares
• Scout Montalvo
• Vivianne Nguyen, MD
• Nickes Medical Supply, LLC.

• All providers in McClellan, CA
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.