Active NPI
Michele Celeste McKean, MS, APRN, FNP-C
- Family Nurse Practitioner
- Southlake, TX
National Provider Identifier
1780230276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP142004
- Practice address
- 1170 N Carroll Ave
Southlake, TX 76092-5306 - Phone
- (817) 329-6263
- NPI assigned
- Aug 12, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142004 | TX | Primary |
Addresses
Primary practice location
1170 N Carroll Ave
Southlake, TX 76092-5306
Mailing address
1170 N Carroll Ave
Southlake, TX 76092-5306
Phone (817) 329-6263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP142004 | Other | TX | TEXAS BOARD OF NURSING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | np@slwellness.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 27, 2025 through Mar 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142004 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1780230276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 N CARROLL AVE",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925306",
"telephone_number": "817-329-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 N CARROLL AVE",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925306",
"telephone_number": "817-329-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEAN",
"first_name": "MICHELE",
"middle_name": "CELESTE",
"credential": "MS, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING",
"identifier": "AP142004",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "np@slwellness.net",
"affiliation": "N",
"address_1": "1170 N Carroll Ave",
"city": "Southlake",
"state": "TX",
"country_code": "US",
"postal_code": "760925306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.