Individual provider Active NPI

Michaela Erin Calhoun, C.C.A.

  • Anaplastologist
  • West Saint Paul, MN
National Provider Identifier
1699135533
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AnaplastologistTaxonomy code 229N00000X
Practice address
1880 Livingston Ave Ste 103
West Saint Paul, MN 55118-3426
Phone
(651) 340-5594
Fax
(844) 632-5594
NPI assigned
Mar 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anaplastologist 229N00000X Primary

Addresses

Primary practice location

1880 Livingston Ave Ste 103
West Saint Paul, MN 55118-3426

Mailing address

1880 Livingston Ave Ste 103
West Saint Paul, MN 55118-3426
Phone (651) 340-5594

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

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Cities Anaplastology Anaplastologist Current Accepting new patients
Medical Art Resources, Inc Anaplastologist Current Accepting new patients

Locations

1880 Livingston Ave
Ste 103
West St Paul, MN 55118
Phone (651) 340-5594

3400 S 103rd St
Ste 200
Milwaukee, WI 53227
Phone (414) 543-1002

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1699135533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 103",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "651-340-5594",
            "fax_number": "844-632-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 103",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "651-340-5594",
            "fax_number": "844-632-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "MICHAELA",
        "middle_name": "ERIN",
        "credential": "C.C.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "229N00000X",
            "taxonomy_group": "",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.