Michael Kellyn Thralls

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

28201523A Issued in IN

Practice address

1402 E County Line Rd
Indianapolis, IN 46227-0963

Phone

(317) 887-7292

NPI assigned

Jun 26, 2025

Last updated

Jun 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1609764554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 CARMELITA CT",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238879",
            "telephone_number": "317-509-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 E COUNTY LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270963",
            "telephone_number": "317-887-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRALLS",
        "first_name": "MICHAEL",
        "middle_name": "KELLYN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28201523A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Lee Thornton, OTR
• Jason D Thorp, M.D.
• Kenneth Thorpe
• Lydia Jensen Thorpe, OCC THERAPIST
• Tessa J. Thorstenson, NP
• Devonne Thrash-Holmes
• Erica Thrash, LMHC
• Brenda Thrawley, COTA
• Threads of Healing Counseling LLC
• Paris Threatt

• Critical Care Medicine Registered Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Critical Care Medicine Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.