Individual provider Active NPI

Michelle Lohof, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1477284065
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP61351492 Issued in WA
Practice address
1576 N Rancho Pueblo CT
Tucson, AZ 85712-4057
Phone
(406) 396-1906
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN116964 AZ
Gerontology Nurse Practitioner 363LG0600X AP61351492 WA Primary

Addresses

Primary practice location

1576 N Rancho Pueblo CT
Tucson, AZ 85712-4057

Mailing address

1576 N Rancho Pueblo CT
Tucson, AZ 85712-4057
Phone (406) 396-1906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107003299 WA Order and Referring Only - Nurse Practitioner 8325415169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN116964AZMDCritical Care Medicine Registered Nurse
AP61351492WAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1477284065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 N RANCHO PUEBLO CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124057",
            "telephone_number": "406-396-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 N RANCHO PUEBLO CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124057",
            "telephone_number": "406-396-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHOF",
        "first_name": "MICHELLE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AZ",
            "license": "RN116964",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61351492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.