Active NPI
Michael They
- Family Nurse Practitioner
- Modesto, CA
National Provider Identifier
1134746019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MICHAEL THEY
- Practice address
- 802 14TH St Ste N
Modesto, CA 95354-1029 - Phone
- (209) 718-6240
- Fax
- (209) 844-0334
- NPI assigned
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael They, NP
- Title
- Owner
- Phone
- (209) 718-6240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
802 14TH St Ste N
Modesto, CA 95354-1029
Mailing address
PO Box 576649
Modesto, CA 95357-6649
Phone (209) 845-2553
Other practice location 1
1608 Tully Rd
Modesto, CA 95350-4031
Phone (209) 542-8758
National Provider Directory
National Provider DirectoryLocations
802 14th St
Ste N
Modesto, CA 95354
Phone (209) 501-5648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598486400000",
"number": "1134746019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576649",
"city": "MODESTO",
"state": "CA",
"postal_code": "953576649",
"telephone_number": "209-845-2553",
"fax_number": "209-844-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 14TH ST STE N",
"city": "MODESTO",
"state": "CA",
"postal_code": "953541029",
"telephone_number": "209-718-6240",
"fax_number": "209-844-0334"
}
],
"practiceLocations": [
{
"address_1": "1608 Tully Rd",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953504031",
"country_code": "US",
"telephone_number": "209-542-8758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MICHAEL THEY",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2020-08-27",
"certification_date": "2020-08-20",
"status": "A",
"authorized_official_last_name": "THEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-718-6240",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.