Michelle Lee Wiley, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

047769 Issued in NC

Practice address

1061 Harmon Ave
Pediatric Clinic
Fort Stewart, GA 31314-5641

Phone

(912) 435-5555

Fax

(912) 435-5954

NPI assigned

Nov 17, 2014

Last updated

Nov 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Lee Ahrens-Payne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1457757510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "PEDIATRIC CLINIC",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145611",
            "telephone_number": "912-435-5555",
            "fax_number": "912-435-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "PEDIATRIC CLINIC",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-5555",
            "fax_number": "912-435-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NC",
            "license": "047769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "AHRENS-PAYNE",
            "middle_name": "LEE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larry Curtis Whitman, RPH
• Paul W Wickard, PA
• Venina Wicker, RN
• Craig Wilcox
• Joan Wiley
• Raymond Wilhelm
• Beth Ellen Wilkinson, LCSW
• Marion Lenor Willbright, LCSW-C
• Christine Willey Macko, BSN, RN-BC
• Brandon Michael Williams, PHARM. D

• Licensed Vocational Nurse in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Licensed Vocational Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.