Individual provider Active NPI

Michelle Roelke, RN

  • Home Health Registered Nurse
  • Troy, MI
National Provider Identifier
1255578993
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
4704173731 Issued in MI
Practice address
1016 Alameda Blvd
Troy, MI 48085-6733
Phone
(810) 348-7532
Fax
(248) 250-9548
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704173731 MI Primary

Addresses

Primary practice location

1016 Alameda Blvd
Troy, MI 48085-6733

Mailing address

1016 Alameda Blvd
Troy, MI 48085-6733
Phone (810) 348-7532

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
4704173731MIMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lakshmi Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1255578993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 ALAMEDA BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856733",
            "telephone_number": "810-348-7532",
            "fax_number": "248-250-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 ALAMEDA BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856733",
            "telephone_number": "810-348-7532",
            "fax_number": "248-250-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELKE",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704173731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.