Michelle Massie, RN

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

531 W Villard St Ste 1
Dickinson, ND 58601-5044

Phone

(701) 660-0626

NPI assigned

Dec 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Lutheran Social Services of ND

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1225459027
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1497351258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 20TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034705",
            "telephone_number": "701-660-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W VILLARD ST STE 1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015044",
            "telephone_number": "701-660-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIE",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R41039",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1460508",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michellem@lssnd.org",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private Health Information",
            "address_1": "531 W Villard St Ste 1",
            "city": "Dickinson",
            "state": "ND",
            "country_code": "US",
            "postal_code": "586015044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sierra Nicole Marsh, PT, DPT
• Rachael Marshall, NP
• Brady Martin
• Regina Martin, CLC
• Marilyn Marx
• Cherian Mathew, D.P.M.
• Christian Matthews, CRNA
• Christina Mauhy
• Maxhealth Mobile Inc
• Savanna Nicole McCarty

• Specialist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.