Active NPI
Michele Ann Michael, CRNP
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1396813275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AC000148
- Practice address
- 8300 Carlson Lane
Winfield Elementary Wellness Center
Baltimore, MD 21244 - Phone
- (410) 521-8291
- Fax
- (410) 521-8291
- NPI assigned
- Dec 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AC000148 | MD | Primary |
Addresses
Primary practice location
8300 Carlson Lane
Winfield Elementary Wellness Center
Baltimore, MD 21244
Mailing address
655 West Lombard
565C University of Maryland School of Nursing
Baltimore, MD 21201
Phone (410) 706-7873
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC000148 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396813275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 WEST LOMBARD",
"address_2": "565C UNIVERSITY OF MARYLAND SCHOOL OF NURSING",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-706-7873",
"fax_number": "410-706-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 CARLSON LANE",
"address_2": "WINFIELD ELEMENTARY WELLNESS CENTER",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21244",
"telephone_number": "410-521-8291",
"fax_number": "410-521-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "MICHELE",
"middle_name": "ANN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "AC000148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.