Active NPI
Carrie Michalski, NURSE PRACTITIONER
- Women's Health Nurse Practitioner
- Charlottesville, VA
National Provider Identifier
1366753873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 0024167009
- Practice address
- 600 Peter Jefferson Parkway
Suite 290
Charlottesville, VA 22911-8835 - Phone
- (434) 977-4488
- Fax
- (434) 977-6103
- NPI assigned
- Jun 30, 2010
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0024167009 | VA | Primary |
Addresses
Primary practice location
600 Peter Jefferson Parkway
Suite 290
Charlottesville, VA 22911-8835
Mailing address
400 E Cary St
Suite 290
Richmond, VA 23219-3816
Phone (434) 977-4488
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167009 | VA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson OB GYN LTD | Past | Accepting new patients | |
| Jefferson OB GYN LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Charlottesville, VA
- NPI 1538197454
-
- Ambulatory Surgical Clinic/Center
- Charlottesville, VA
- NPI 1902473028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1366753873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E CARY ST",
"address_2": "SUITE 290",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232193816",
"telephone_number": "434-977-4488",
"fax_number": "434-977-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PETER JEFFERSON PARKWAY",
"address_2": "SUITE 290",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229118835",
"telephone_number": "434-977-4488",
"fax_number": "434-977-6103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALSKI",
"first_name": "CARRIE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VA",
"license": "0024167009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.