Active NPI
Cheryl Diane Michael, FNP, MSN, RN
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1295837391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 450322
- Practice address
- 4500 S Lancaster Rd
Ambulatory Care, Clinic #11
Dallas, TX 75216-7167 - Phone
- (180) 084-9395
- NPI assigned
- Sep 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 450322 | TX | Primary |
Addresses
Primary practice location
4500 S Lancaster Rd
Ambulatory Care, Clinic #11
Dallas, TX 75216-7167
Mailing address
906 Rock Creek Dr
Red Oak, TX 75154-3957
Phone (972) 617-6606
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 450322 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295837391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 ROCK CREEK DR",
"city": "RED OAK",
"state": "TX",
"postal_code": "751543957",
"telephone_number": "972-617-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"address_2": "AMBULATORY CARE, CLINIC #11",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "180-084-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "CHERYL",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "FNP, MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "450322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- 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.