Active NPI
Michelle C. Vannieuwenhuize, MD LLC
- Internal Medicine Physician
- Lincoln, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD11885
- Legal business name
- MICHELLE C. VANNIEUWENHUIZE, MD LLC
- Practice address
- 6 Blackstone Valley PL
Building #3 Suite 305
Lincoln, RI 02865-1179 - Phone
- (401) 334-1097
- Fax
- (401) 305-5497
- NPI assigned
- Mar 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle C Vannieuwenhuize, M.D.
- Title
- Physician
- Phone
- (401) 334-1044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD11885 | RI | Primary |
Addresses
Primary practice location
6 Blackstone Valley PL
Building #3 Suite 305
Lincoln, RI 02865-1179
Mailing address
6 Blackstone Valley PL
Building #3 Suite 305
Lincoln, RI 02865-1179
Phone (401) 334-1097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D2319716 | Michelle Vannieuwenhuize MD LLC | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
6 Blackstone Valley Pl
Ste 305
Lincoln, RI 02865
Phone (401) 334-1097
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Lincoln, RI
- NPI 1386653343
-
- Physician Assistant
- Providence, RI
- NPI 1174182430
-
- Internal Medicine Physician
- Lincoln, RI
- NPI 1346337177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1275856759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BLACKSTONE VALLEY PL",
"address_2": "BUILDING #3 SUITE 305",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028651179",
"telephone_number": "401-334-1097",
"fax_number": "401-305-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BLACKSTONE VALLEY PL",
"address_2": "BUILDING #3 SUITE 305",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028651179",
"telephone_number": "401-334-1097",
"fax_number": "401-305-5497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE C. VANNIEUWENHUIZE, MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-11",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "VANNIEUWENHUIZE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "401-334-1044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD11885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.