Michelle R Laney, MA

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

XT015956 Issued in IN

Practice address

777 S Main St
Suite 100
Clinton, IN 47842-2493

Phone

(765) 828-1003

Fax

(765) 828-1030

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

• Michelle R. Moore Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2009.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1578705083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422493",
            "telephone_number": "765-828-1003",
            "fax_number": "765-828-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422493",
            "telephone_number": "765-828-1003",
            "fax_number": "765-828-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANEY",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "IN",
            "license": "XT015956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MOORE",
            "middle_name": "R.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kidney and Hypertension Center of in, PC
• Jennifer Kirchoff
• Heidi Joy Kotva Strickland, PHD
• Laboratory Corportation of America Holdings
• Samantha Lambertus, NP
• Brandi Larson, NP
• Tasha J Lewis Stevens, LCSW
• Sarah Jane Lindsay, OTR
• Linda S Lonneman, LCSW
• Cody Manley, PA-C

• All providers in Clinton, IN
• Radiologic Technologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.