Michelle Diann Veltum, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200540780RN Issued in OR

Practice address

8495 Crater Lake Hwy
White City, OR 97503-3011

Phone

(530) 859-5546

NPI assigned

May 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Diann Haistings Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1164089512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 VIRGINIA DR",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975033011",
            "telephone_number": "530-859-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELTUM",
        "first_name": "MICHELLE",
        "middle_name": "DIANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200540780RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HAISTINGS",
            "middle_name": "DIANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Ray Twiss, LCSW
• VA Southern Oregon
• Lynette Carol Van Dusen, LCSW
• Ruth Vangsness
• Vasorcc
• Vera Whole Health Wa PC
• Veteran Affairssouthern Oregon Rehabilitation Center and Clinic
• Veterans Affairs
• Grant Paul Walker, A.A.S., CADC
• Catherine D Wallace, RN

• Registered Nurse in White City, OR
• Providers in White City, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.