Michelle McCluskey, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12179 Issued in TN

Practice address

204 Shaver Dr
Talbott, TN 37877-8552

Phone

(423) 581-7040

Fax

(423) 581-9563

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• R. Shane Roberts, M.D., Inc.

  • Family Medicine Physician
  • Decatur, TN
  • NPI 1740936178
  Medicare reassignment NPD
• R. Shane Roberts, M.D., Inc.

  • Family Medicine Physician
  • Decatur, TN
  • NPI 1508062977
  NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1396756342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378770789",
            "telephone_number": "423-581-7040",
            "fax_number": "423-581-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHAVER DR",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778552",
            "telephone_number": "423-581-7040",
            "fax_number": "423-581-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUSKEY",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3344091",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Elizabeth Mayer, PHD
• Wendi Nicole McAnally
• Rebekah Jolene McBee
• Daniel Fox McCleary, MS
• Cinandra Beth McCleery, LCSW
• Christina Marie McCrudden, BSW
• Blake Alexander Medley
• Robin Reece Michaels, MEDICAL DOCTOR
• Carolyn Dorthea Minton, CNA
• Paula Mae Montes, FNP

• Family Nurse Practitioner in Talbott, TN
• Providers in Talbott, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.