Tammy Lynn Michaelson, HIS

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

410 Issued in CT

Practice address

811 Guerdat Rd
Torrington, CT 06790-2836

Phone

(203) 910-9645

Fax

(860) 496-0423

NPI assigned

Feb 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1194022871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 GUERDAT RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902836",
            "telephone_number": "203-910-9645",
            "fax_number": "860-496-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 GUERDAT RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902836",
            "telephone_number": "203-910-9645",
            "fax_number": "860-496-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CT",
            "license": "410",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Alexander Mendes, PHARMD
• Tracy Menta, OT
• Mark J Meola, LCSW
• Robin Mattiello Miasek, MSW
• Vincent J Miccoli, PA
• Allen Paul Michot III, PA-C
• Alison M Milano, LCSW
• Jeffrey S Miller, MD
• Michael Derrick Minardi, PA-C
• Heather Lee Miranda, PT,DPT

• Durable Medical Equipment & Medical Supplies in Torrington, CT
• Providers in Torrington, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.