Active NPI
Michelle Jean Valentine, RN, CNP
- Nurse Practitioner
- Bloomington, MN
National Provider Identifier
1497877286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1252
- Practice address
- 7920 Old Cedar Ave S
Bloomington, MN 55425-1207 - Phone
- (952) 428-1800
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | VAL1-0430-2174 | MN | |
| Nurse Practitioner | 363L00000X | 1252 | MN | Primary |
Addresses
Primary practice location
7920 Old Cedar Ave S
Bloomington, MN 55425-1207
Mailing address
7920 Old Cedar Ave S
Bloomington, MN 55425-1207
Phone (952) 428-1800
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
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1252 | MN | MD | Marriage & Family Therapist |
| VAL1-0430-2174 | MN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1497877286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 OLD CEDAR AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251207",
"telephone_number": "952-428-1800",
"fax_number": "952-428-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 OLD CEDAR AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251207",
"telephone_number": "952-428-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "MICHELLE",
"middle_name": "JEAN",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "VAL1-0430-2174",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "1252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.