Active NPI
Michaela M Unrein, ARNP-C
- Nurse Practitioner
- Woodville, OH
National Provider Identifier
1376537548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.15864
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.15864 | OH | MD | Nurse Practitioner |
| 128421 | WI | MD | Adult 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.