Individual provider Active NPI

Michelle Medbery, RN

  • Registered Nurse
  • Wichita, KS
National Provider Identifier
1720638851
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
101275 Issued in KS
Practice address
770 N Silver Springs Blvd Apt 602
Wichita, KS 67212-6080
Phone
(316) 734-5334
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 101275 KS Primary

Addresses

Primary practice location

770 N Silver Springs Blvd Apt 602
Wichita, KS 67212-6080

Mailing address

770 N Silver Springs Blvd Apt 602
Wichita, KS 67212-6080
Phone (316) 734-5334

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smedbery@att.net

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
101275KSMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1720638851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N SILVER SPRINGS BLVD APT 602",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126080",
            "telephone_number": "316-734-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N SILVER SPRINGS BLVD APT 602",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126080",
            "telephone_number": "316-734-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDBERY",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "101275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smedbery@att.net",
            "affiliation": "N",
            "address_1": "770 N Silver Springs Blvd Apt 602",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672126080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.