Active NPI
Michelle S Neighbors, CST, CFA
- Surgical Technologist
- Newburgh, IN
National Provider Identifier
1326192105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 94848
- Practice address
- 4199 Gateway Blvd
Suite 2600
Newburgh, IN 47630-8940 - Phone
- (812) 842-4868
- Fax
- (812) 858-4605
- NPI assigned
- Jan 22, 2007
- 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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 94848 | Primary |
Addresses
Primary practice location
4199 Gateway Blvd
Suite 2600
Newburgh, IN 47630-8940
Mailing address
4199 Gateway Blvd Ste 2600
Newburgh, IN 47630-8970
Phone (812) 842-4868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000627111 | Other | IN | ANTHEM PROVIDER NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1326192105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4199 GATEWAY BLVD STE 2600",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308970",
"telephone_number": "812-842-4868",
"fax_number": "812-858-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4199 GATEWAY BLVD",
"address_2": "SUITE 2600",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308940",
"telephone_number": "812-842-4868",
"fax_number": "812-858-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIGHBORS",
"first_name": "MICHELLE",
"middle_name": "S",
"credential": "CST, CFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": "94848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000627111",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.