Active NPI
Marguerite Inge Michels, N.P.
- Family Nurse Practitioner
- Detroit, MI
National Provider Identifier
1528098670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704106974
- Practice address
- 1150 E Lantz St
Detroit, MI 48203-1376 - Phone
- (313) 368-4139
- Fax
- (313) 368-4470
- NPI assigned
- Jul 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704106974 | MI | Primary |
Addresses
Primary practice location
1150 E Lantz St
Detroit, MI 48203-1376
Mailing address
43800 Garfield Rd
Suite 200
Clinton Township, MI 48038-1136
Phone (586) 228-4652
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4874249 | Medicaid | MI | |
| 4704106974 | Other | MI | MICHIGAN LICENSE NUMBER |
Other names 1
- Ms. Marguerite Natoli
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704106974 | MI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1528098670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43800 GARFIELD RD",
"address_2": "SUITE 200",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381136",
"telephone_number": "586-228-4652",
"fax_number": "586-228-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 E LANTZ ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482031376",
"telephone_number": "313-368-4139",
"fax_number": "313-368-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELS",
"first_name": "MARGUERITE",
"middle_name": "INGE",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704106974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4874249",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN LICENSE NUMBER",
"identifier": "4704106974",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARGUERITE",
"last_name": "NATOLI",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.