Michael Ungeheuer, RN MN PHN

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

423357 Issued in CA

Practice address

929 Spring St
Placerville, CA 95667-4543

Phone

(530) 621-6129

NPI assigned

Apr 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447373261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 DAISY DR",
            "city": "POLLOCK PINES",
            "state": "CA",
            "postal_code": "957269433",
            "telephone_number": "530-621-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SPRING ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674543",
            "telephone_number": "530-621-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGEHEUER",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RN MN PHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "423357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gia Tyler, MFTI
• Scott Anthony Ubrick, P.T.
• Julie Ulloa
• Brent Charles Ulrici
• Catherine Maria Underwood, MFT
• Patricia Ann Urban
• V. L. Grant M. D. PMC
• Laura Valdez
• Michelle Vanalen
• Sharee Vance, MFT

• Clinical Nurse Specialist in Placerville, CA
• Providers in Placerville, CA by specialty
• Clinical Nurse Specialist in California

• 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.

Verify at the official NPI Registry.