Michelle Margaret Fennessy, CNS, APN

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

Practice address

5841 S Maryland Ave
Office of Nurse Recruitment, MC 1053
Chicago, IL 60637-1447

Phone

(312) 972-2200

NPI assigned

Apr 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265650139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 15TH ST UNIT 111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082298",
            "telephone_number": "312-972-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "OFFICE OF NURSE RECRUITMENT, MC 1053",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "312-972-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNESSY",
        "first_name": "MICHELLE",
        "middle_name": "MARGARET",
        "credential": "CNS, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Fenn, PSYD
• Jason G Fennema, D.C.
• Lariza Fenner-Lux
• Anna Fenner, MD
• Soreida Mamie Fennerr
• Samantha Mae Fenno, LCSW
• James Steven Fenoglio, MD
• Erika Mary Fenstad
• Craig A Fenton, M.D.
• Emily Fenton

• Adult Health Clinical Nurse Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Health Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.