Active NPI
Michelle D Delkettie, LMP
- Specialist
- Bellingham, WA
National Provider Identifier
1154561587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00025169
- Practice address
- 2209 Elm St Ste 204
Bellingham, WA 98225-2855 - Phone
- (509) 741-0716
- NPI assigned
- Feb 25, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00025169 | WA | Primary |
Addresses
Primary practice location
2209 Elm St Ste 204
Bellingham, WA 98225-2855
Mailing address
PO Box 615
Deming, WA 98244-0615
Phone (509) 741-0716
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00025169 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1154561587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 615",
"city": "DEMING",
"state": "WA",
"postal_code": "982440615",
"telephone_number": "509-741-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 ELM ST STE 204",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252855",
"telephone_number": "509-741-0716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELKETTIE",
"first_name": "MICHELLE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00025169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.