Active NPI
Elizabeth Anne McMichael, NP
- Family Nurse Practitioner
- Burlingame, CA
National Provider Identifier
1104220144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95001500
- Practice address
- 350 Lorton Ave
Burlingame, CA 94010-4104 - Phone
- (650) 249-9110
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001500 | CA | Primary |
Addresses
Primary practice location
350 Lorton Ave
Burlingame, CA 94010-4104
Mailing address
350 Lorton Ave
Burlingame, CA 94010-4104
Phone (650) 249-9110
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001500 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mood Clinical, P. C. | Family | Current | Accepting new patients |
| JSMD PC | 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 and National Provider Directory roles.
-
- Obesity Medicine (Family Medicine) Physician
- Burlingame, CA
- NPI 1578833059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1104220144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 LORTON AVE",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104104",
"telephone_number": "650-249-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 LORTON AVE",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104104",
"telephone_number": "650-249-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMICHAEL",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95001500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.