Individual provider Active NPI

Rhonda Rae Michelena, R.N.

  • Registered Nurse
  • Sheridan, WY
National Provider Identifier
1215227707
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9527 Issued in WY
Practice address
909 Long Dr
Suite C
Sheridan, WY 82801-3282
Phone
(307) 672-8958
NPI assigned
Apr 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9527 WY Primary

Addresses

Primary practice location

909 Long Dr
Suite C
Sheridan, WY 82801-3282

Mailing address

909 Long Dr
Suite C
Sheridan, WY 82801-3282
Phone (307) 672-8958

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9527WYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1215227707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LONG DR",
            "address_2": "SUITE C",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013282",
            "telephone_number": "307-672-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 LONG DR",
            "address_2": "SUITE C",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013282",
            "telephone_number": "307-672-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELENA",
        "first_name": "RHONDA",
        "middle_name": "RAE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "9527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.