Individual provider Active NPI

Michelle Meany Pietlock, NP-C

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1689965006
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000551 Issued in DE
Practice address
620 Stanton Christiana Rd
Suite 201
Newark, DE 19713-2133
Phone
(302) 999-9399
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000551 DE Primary

Addresses

Primary practice location

620 Stanton Christiana Rd
Suite 201
Newark, DE 19713-2133

Mailing address

620 Stanton Christiana Rd
Suite 201
Newark, DE 19713-2133
Phone (302) 999-9399

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0000551DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women First, LLC CurrentSince Oct 29, 2011 Accepting new patients
Women First, LLC Past Accepting new patients

Locations

4745 Ogletown Stanton Rd
Ste 106
Newark, DE 19713
Phone (302) 454-9800

4745 Ogletown Stanton Rd
Ste 207
Newark, DE 19713
Phone (302) 368-9000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1689965006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132133",
            "telephone_number": "302-999-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STANTON CHRISTIANA RD",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132133",
            "telephone_number": "302-999-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETLOCK",
        "first_name": "MICHELLE",
        "middle_name": "MEANY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.