Active NPI
Laura Michalek, MSN, RN
- Registered Nurse
- New London, CT
National Provider Identifier
1124885199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 79108
- Practice address
- 15 Mohegan Ave
Michel Hall Room 201
New London, CT 06320 - Phone
- (860) 444-8431
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 79108 | CT | Primary |
Addresses
Primary practice location
15 Mohegan Ave
Michel Hall Room 201
New London, CT 06320
Mailing address
15 Mohegan Ave
Michel Hall Room 201
New London, CT 06320
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79108 | CT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1124885199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MOHEGAN AVE",
"address_2": "MICHEL HALL ROOM 201",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MOHEGAN AVE",
"address_2": "MICHEL HALL ROOM 201",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-444-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALEK",
"first_name": "LAURA",
"credential": "MSN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "79108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.