Active NPI
Michelle Stephens
- School Registered Nurse
- Everett, WA
National Provider Identifier
1528516309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 60106856
- Practice address
- 3900 Broadway
Everett, WA 98201-5033 - Phone
- (425) 385-5254
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 60106856 | WA | Primary |
Addresses
Primary practice location
3900 Broadway
Everett, WA 98201-5033
Mailing address
3900 Broadway
Everett, WA 98201-5033
Phone (425) 385-5254
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60106856 | WA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1528516309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982015033",
"telephone_number": "425-385-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982015033",
"telephone_number": "425-385-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WA",
"license": "60106856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.