Jeanne Ann Micale, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN2378973 Issued in MA

Practice address

29 Market SQ
Lynn, MA 01905-2420

Phone

(781) 596-3500

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lynn Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lynn, MA
  • NPI 1013997691
  NPD

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1780378190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEYLAND CIR",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454935",
            "telephone_number": "661-904-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MARKET SQ",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052420",
            "telephone_number": "781-596-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICALE",
        "first_name": "JEANNE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "RN2378973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew George Mesrobian
• Andrea Lynne Messina, OTR/L
• Jean-Ellen Marie Metivier, M.A.
• Beatrice Issaya Mgaragu
• Michael Xinyu Miao, PTA
• Kimberly Michael, RN
• Benjamin Miele, M.ED, MSW, LICSW
• Ann Fraser Miller, M.S.W.
• Bridget Eileen Miller, LCSW
• Christopher M Miller, MPA, LMHC

• Community Health Registered Nurse in Lynn, MA
• Providers in Lynn, MA by specialty
• Community Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.