Charles Michira

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

209223-6 Issued in MN

Practice address

1433 E Franklin Ave
Ste 1
Minneapolis, MN 55404-2101

Phone

(612) 294-1306

NPI assigned

Jan 15, 2014

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1568884138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20993 HOLIDAY AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449803",
            "telephone_number": "763-225-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE",
            "address_2": "STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101",
            "telephone_number": "612-294-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIRA",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "209223-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L. Meinholz, D.C., PLLC
• Meghan Frances Michelotti
• Carrie Ann Michels, CRNA
• Roxanne Michelson, PNP
• Sarah Elaine Michelson, NP
• Adelaide Adams Michlitsch, LPCC, LADC
• Christopher A Mickelson, M.D.
• Laura A Mickelson, PHD, RN
• Rachel Mickelson
• Ross G Mickelson, LPCC

• Home Health Registered Nurse in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.