Amanda Brooke Michals, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2010020495 Issued in MO

Practice address

4200 Regent St Ste 200
Columbus, OH 43219-6229

Phone

(877) 870-1775

Fax

(614) 968-8840

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Saint Luke'S Neighborhood Clinics, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1346783008
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1770015596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 REGENT ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196229",
            "telephone_number": "877-870-1775",
            "fax_number": "614-968-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 REGENT ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196229",
            "telephone_number": "877-870-1775",
            "fax_number": "614-968-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALS",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77790",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010020495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel K Michael, LPCC
• Anthony J Michaels, MD
• Michele Rae Michaels, RPH.
• Heather Michalak
• Christine Michalek, PTA
• Marc P. Michalsky, M.D.
• Anna Michaud, PA
• Candice Michel, M.A., CCC-SLP
• Erin K Michel, LISW
• Hilary K Michel, MD

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.