Michael Michelsen, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

R108785 Issued in AR

Practice address

4301 W Markham St
Little Rock, AR 72205-7101

Phone

(501) 686-7000

NPI assigned

Mar 14, 2022

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1679221147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 CLARA ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721433158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSEN",
        "first_name": "MICHAEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AR",
            "license": "R108785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Pohlkamp DDS PA
• Michael T. Nolen, M. D., P. a.
• Janna J Michael, CNP
• Mina Michael Kamel Michael
• Nancy Kerrence Michael
• Aaron Mickens
• Randall S Middaugh, M.D.
• Robert Middaugh, M.D.
• Middle Arkansas Sedation Associates, PLLC
• Derek Middleton

• Emergency Registered Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Emergency Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.