Marian Patricia Michel, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5007363 Issued in NC

Practice address

1008 Old Rockford St
Mount Airy, NC 27030-5361

Phone

(336) 719-0400

Fax

(336) 719-0582

NPI assigned

Jul 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1104258326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 OLD ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305361",
            "telephone_number": "336-719-0400",
            "fax_number": "336-719-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 OLD ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305361",
            "telephone_number": "336-719-0400",
            "fax_number": "336-719-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "MARIAN",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171058",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104258326",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Innovations Concepts, P.C.
• Jose Luis Mendoza, M.D.
• Laura Yvette Mercer, DMD
• Michael Merz, MD
• Brett Michel, RPH
• Roy Bruce Middleton, MD
• Diane Jane Milhan, PHD, DPT, DAOM
• Nicole Michelle Millard, PA-C
• Krysten Miller-Young, PTA
• Brandon Keith Mills, M.D.

• Family Nurse Practitioner in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.