Michelle Lynn Fanning-Hursh, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP018012 Issued in PA

Practice address

200 W Beaver Ave Ste 100
State College, PA 16801-4820

Phone

(814) 238-0587

NPI assigned

Nov 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

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  NPD (past)

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124395215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 KUHNS LN",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017291",
            "telephone_number": "814-883-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W BEAVER AVE STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014820",
            "telephone_number": "814-238-0587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Kuhns Ln",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168017291",
            "country_code": "US",
            "telephone_number": "814-234-8548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 E Sycamore Rd",
            "address_purpose": "LOCATION",
            "city": "Snow Shoe",
            "state": "PA",
            "postal_code": "168748832",
            "country_code": "US",
            "telephone_number": "814-387-6857",
            "fax_number": "814-387-6870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANNING-HURSH",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F.Y.Eye, Inc.
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• Family Recovery, LLC
• Elfrieda A Fanelli, CRNA
• Atif Farag, MD
• Nancy Farber, PH.D.
• Ryan D Farley, PA-C
• Ola Farrag
• Craig Sherman Feaster, M.D.

• All providers in State College, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.