Michelle M Dalton, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704227065 Issued in MI

Practice address

25605 Orangelawn
Redford, MI 48239-2048

Phone

(313) 242-0570

Fax

(313) 242-0568

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mdalton97563@direct.beaumont.edu

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1669564605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1862",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25605 ORANGELAWN",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392048",
            "telephone_number": "313-242-0570",
            "fax_number": "313-242-0568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25605 Orangelawn",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482392048",
            "country_code": "US",
            "telephone_number": "313-242-0570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALTON",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704227065",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704227065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdalton97563@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "25605 Orangelawn",
            "city": "Redford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482392048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Douglas Anthony Cutcher, DPM
• Jennifer Cyplik
• Paul Czarnecki, PHARMD
• Hassan Mahmoud Dabajeh, DPT
• Zeinab M Dabajeh
• Murray Dalton
• Richelle L Daniels, LPN
• Nicole Darby, RN
• Anjanette Davenport Hatter, LMSW
• David Adams

• Nurse Practitioner in Redford, MI
• Providers in Redford, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.