Active NPI
Michelle D Henderson, CNM
- Advanced Practice Midwife
- Chattanooga, TN
National Provider Identifier
1295033256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 31830
- Practice address
- 7490 Ziegler Rd
Chattanooga, TN 37421-3156 - Phone
- (423) 648-6020
- Fax
- (423) 702-9994
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN11011885 | FL | |
| Advanced Practice Midwife | 367A00000X | 31830 | TN | Primary |
Addresses
Primary practice location
7490 Ziegler Rd
Chattanooga, TN 37421-3156
Mailing address
7490 Ziegler Rd
Chattanooga, TN 37421-3156
Phone (423) 648-6020
Other names 1
- Michelle D Pease
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220913001919 | TN | Practitioner - Certified Nurse Midwife (CNM) | 9335323922 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011885 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erlanger Health | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Licking Memorial Professional Corp. | Past | Accepting new patients | |
| Erlanger Health | Past | Accepting new patients |
Locations
7490 Ziegler Rd
Chattanooga, TN 37421
Phone (423) 648-6020
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Organizations & group practices 6
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.
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- NPI 1073622007
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1740073329
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- NPI 1871295709
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694908800000",
"number": "1295033256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7490 ZIEGLER RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213156",
"telephone_number": "423-648-6020",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7490 ZIEGLER RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213156",
"telephone_number": "423-648-6020",
"fax_number": "423-702-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "MICHELLE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2023-09-17",
"certification_date": "2023-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11011885",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "31830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "PEASE",
"middle_name": "D",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.