Active NPI
Michelle Lynn Goulet
- Mechanotherapist
- Bismarck, ND
National Provider Identifier
1770889727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 976
- Practice address
- 206 N 19TH St
Bismarck, ND 58501-4746 - Phone
- (701) 224-9436
- NPI assigned
- Feb 8, 2011
- Last updated
- Feb 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 976 | ND | Primary |
Addresses
Primary practice location
206 N 19TH St
Bismarck, ND 58501-4746
Mailing address
206 N 19TH St
Bismarck, ND 58501-4746
Phone (701) 224-9436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 976 | Other | ND | NORTH DAKOTA BOARD OF MASSAGE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1770889727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N 19TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014746",
"telephone_number": "701-224-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N 19TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014746",
"telephone_number": "701-224-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULET",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "ND",
"license": "976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH DAKOTA BOARD OF MASSAGE",
"identifier": "976",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.