Michele Renee Putman, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP050220 Issued in AZ

Practice address

3029 N Alma School Rd Ste 130
Chandler, AZ 85224-1474

Phone

(480) 812-3680

NPI assigned

Jan 30, 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

• N/a N/a N/a Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Divine Home Health Care, LLC

  • Home Health Agency
  • Gilbert, AZ
  • NPI 1548689847
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1245794684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 N ALMA SCHOOL RD STE 130",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241474",
            "telephone_number": "480-812-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 N ALMA SCHOOL RD STE 130",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241474",
            "telephone_number": "480-812-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP050220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nancy L Pulsipher
• Jonah Puntney
• Pura Vida Chiropractic, PLC
• Purohit MD Inc
• Pallavi Dhirendra Purohit, MD
• Tyler Putnam, MD, MBA
• Rahadian Kris Putrasahan, DDS
• Danielle T Putrow, NP
• Leslie Putt, PT
• Deanna Irene Putts, L.M.P.

• Licensed Practical Nurse in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.