Organization Active NPI

Michael They

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1134746019
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Aug 27, 2020

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.