Individual provider Active NPI

Michelle Arceneaux Proops, PNP-BC

  • Pediatric Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1437404852
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
74111 Issued in WV
Practice address
4407 Maccorkle Ave SE
2ND Floor
Charleston, WV 25304-2505
Phone
(304) 925-0392
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 74111 WV Primary

Addresses

Primary practice location

4407 Maccorkle Ave SE
2ND Floor
Charleston, WV 25304-2505

Mailing address

1411 Quarrier St
Apt a
Charleston, WV 25301-3009
Phone (304) 421-1532

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

LicenseStateTypeSpecialty
74111WVMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Darnell PLLC Past Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1437404852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 QUARRIER ST",
            "address_2": "APT A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013009",
            "telephone_number": "304-421-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE",
            "address_2": "2ND FLOOR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042505",
            "telephone_number": "304-925-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROOPS",
        "first_name": "MICHELLE",
        "middle_name": "ARCENEAUX",
        "name_prefix": "Mrs.",
        "credential": "PNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WV",
            "license": "74111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.