Michelle Nichols, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

4704217091 Issued in MI

Practice address

13630 Orchard St
Southgate, MI 48195-1315

Phone

(734) 624-5038

NPI assigned

Dec 23, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1356938369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 ORCHARD ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 ORCHARD ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951315",
            "telephone_number": "734-624-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704217091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Nemer, LLMSW
• Michael Neshewat, M.D.
• Ronald Neu
• Audrey Newstead
• Vivian Ngum Ngwa
• Teresa Nicholson, LLBSW
• Sherry Nipper
• Amber Nolan
• Christa Norlander, D.O.
• Ashlee Norman, LLMSW

• Critical Care Medicine Registered Nurse in Southgate, MI
• Providers in Southgate, MI by specialty
• Critical Care Medicine Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.