Michelle Marie Kanavos, MS, APRN, BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

241221 Issued in MA

Practice address

655 Concord St
Framingham, MA 01702-6020

Phone

(508) 875-1466

Fax

(508) 879-8958

NPI assigned

Feb 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science

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.

• Beacon Hospice, LLC

  dba Metrowest HomeCare and Hospice, an Amedisys Company

  • Community Based Hospice Care Agency
  • Marlborough, MA
  • NPI 1043335011
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1548439813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CONCORD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026020",
            "telephone_number": "508-875-1466",
            "fax_number": "508-879-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CONCORD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026020",
            "telephone_number": "508-875-1466",
            "fax_number": "508-879-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAVOS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "MS, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "241221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai Gao DMD LLC (Summit Dental Care)
• Vania De Oliveira Barros Kaiser
• Yevgeniy Kalaberdin
• Jessica Marie Kales
• Amelie Kamga
• Mayya Kane
• Susan Kanian-Andriole, LICSW
• Suchanan Kanjanapong, MD
• Maxine K. Kantor, PSYD
• Heatheranne Fayth Kantrowitz

• Primary Care Nurse Practitioner in Framingham, MA
• Providers in Framingham, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.