Individual provider Active NPI

Michaela M Unrein, ARNP-C

  • Nurse Practitioner
  • Woodville, OH
National Provider Identifier
1376537548
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.15864 Issued in OH
Practice address
1100 W Main St
Woodville, OH 43469-9723
Phone
(419) 724-5820
Fax
(419) 724-5821
NPI assigned
Sep 2, 2005
Reactivated
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 128421 WI
Nurse Practitioner 363L00000X APRN.CNP.15864 OH Primary

Addresses

Primary practice location

1100 W Main St
Woodville, OH 43469-9723

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5327

Other practice location 1

1090 N Shoop Ave
Wauseon, OH 43567-1821
Phone (419) 330-5200

Other practice location 2

7301 Secor Rd
Lambertville, MI 48144
Phone (419) 479-5795

Other practice location 3

1136 Country Club Rd Unit C
Adrian, MI 49221-8209
Phone (517) 366-5110

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

LicenseStateTypeSpecialty
APRN.CNP.15864OHMDNurse Practitioner
128421WIMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1376537548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-479-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MAIN ST",
            "city": "WOODVILLE",
            "state": "OH",
            "postal_code": "434699723",
            "telephone_number": "419-724-5820",
            "fax_number": "419-724-5821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 N Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671821",
            "country_code": "US",
            "telephone_number": "419-330-5200",
            "fax_number": "419-330-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Lambertville",
            "state": "MI",
            "postal_code": "48144",
            "country_code": "US",
            "telephone_number": "419-479-5795",
            "fax_number": "419-479-5795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 Country Club Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492218209",
            "country_code": "US",
            "telephone_number": "517-366-5110",
            "fax_number": "517-366-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNREIN",
        "first_name": "MICHAELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-28",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "128421",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.15864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.