Individual provider Active NPI

Michelle Louise Punzel, BSN, RN

  • School Registered Nurse
  • Yelm, WA
National Provider Identifier
1629472816
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN00121384 Issued in WA
Practice address
202 Stevens Ave NW
Yelm, WA 98597
Phone
(360) 480-8158
Fax
(360) 458-6303
NPI assigned
Oct 16, 2014
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN00121384 WA Primary

Addresses

Primary practice location

202 Stevens Ave NW
Yelm, WA 98597

Mailing address

14140 148TH Ave SE
Yelm, WA 98597-9174
Phone (360) 480-8158

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00121384WAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1629472816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14140 148TH AVE SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979174",
            "telephone_number": "360-480-8158",
            "fax_number": "360-458-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 STEVENS AVE NW",
            "city": "YELM",
            "state": "WA",
            "postal_code": "98597",
            "telephone_number": "360-480-8158",
            "fax_number": "360-458-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNZEL",
        "first_name": "MICHELLE",
        "middle_name": "LOUISE",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00121384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.