Active NPI
Michelle L Ackerman, NP
- Adult Health Nurse Practitioner
- Ft Belvoir, VA
National Provider Identifier
1730154337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30007118
- Practice address
- 9501 Farrell Rd
Ft Belvoir, VA 22060-5901 - Phone
- (703) 805-0091
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007118 | WA | MD | Adult Health Nurse Practitioner |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP30007118 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9501 Farrell Rd
Ft Belvoir, VA 22060-5901
Mailing address
830 NE Loop 410
Suite 211
San Antonio, TX 78209-1216
Phone (210) 492-0063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2008.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1730154337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 NE LOOP 410",
"address_2": "SUITE 211",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091216",
"telephone_number": "210-492-0063",
"fax_number": "210-492-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 FARRELL RD",
"city": "FT BELVOIR",
"state": "VA",
"postal_code": "220605901",
"telephone_number": "703-805-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "MICHELLE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30007118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.