Michelle Lynn Wargo, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703095763 Issued in MI

Practice address

1421 E Goulson Ave
Hazel Park, MI 48030-1912

Phone

(248) 229-4318

NPI assigned

Jun 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Lynn Pippin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1730866807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E GOULSON AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E GOULSON AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301912",
            "telephone_number": "248-229-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 E Goulson Ave",
            "address_purpose": "LOCATION",
            "city": "Hazel Park",
            "state": "MI",
            "postal_code": "480301912",
            "country_code": "US",
            "telephone_number": "248-229-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARGO",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703095763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PIPPIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trinity Physical Therapy PLLC
• Chinwe Uduh
• Village Pharmacy Hazel Park, Inc
• Walgreen Co
• Courtnay Ware
• Jennifer D Washington, FNP
• Thomas N Weigel, D.D.S.
• Woodward Detroit CVS, L.L.C.
• Terence Woolfork
• Stacey Wray

• Licensed Practical Nurse in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.