Active NPI
Michelle Underwood
- Licensed Vocational Nurse
- San Bernardino, CA
National Provider Identifier
1407267230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 248369
- Practice address
- 1045 W Olive St
San Bernardino, CA 92411-2323 - Phone
- (909) 201-9468
- NPI assigned
- May 14, 2014
- Last updated
- Mar 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 248369 | CA | Primary |
Addresses
Primary practice location
1045 W Olive St
San Bernardino, CA 92411-2323
Mailing address
1045 W Olive St
San Bernardino, CA 92411-2323
Phone (909) 201-9468
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 |
|---|---|---|---|
| 248369 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1407267230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 W OLIVE ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924112323",
"telephone_number": "909-201-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 W OLIVE ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924112323",
"telephone_number": "909-201-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "248369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
- Ulta Care Gansert Chiropractic Professional Corporation
- Ultra Health Specialist,Inc.
- Umran Center LLC
- Charity Underwood Eshleman, MD
- Donald A Underwood, DO MD
- Unicare Community Health Center Inc
- Unicare Community Health Center Inc
- Unicare Community Health Center, Inc.
- Unik Care Pharmacy
- United Medical Care Center Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.