Organization Active NPI

Michael They

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1184239311
Registry record updated Sep 14, 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
(833) 796-8758
NPI assigned
Sep 14, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Gina Wallace
Title
Manager
Phone
(209) 845-2553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU 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

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": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1184239311",
    "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": "833-796-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL THEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-845-2553"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "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 Sep 14, 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.