Active NPI
Michelle Kaye Grover, ATC
- Athletic Trainer
- Phoenix, AZ
National Provider Identifier
1841353109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0121
- Practice address
- 3415 N 59TH Ave
Phoenix, AZ 85033-4623 - Phone
- (602) 763-2984
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0121 | AZ | Primary |
Addresses
Primary practice location
3415 N 59TH Ave
Phoenix, AZ 85033-4623
Mailing address
206 E Lawrence Blvd Apt 119
Avondale, AZ 85323-1946
Phone (602) 763-2984
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0121 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1841353109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E LAWRENCE BLVD APT 119",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853231946",
"telephone_number": "602-763-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 N 59TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850334623",
"telephone_number": "602-763-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVER",
"first_name": "MICHELLE",
"middle_name": "KAYE",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Groundhog Enterprise LLC (Pinnacle Chiropractic)
- Group Non Emergency Medical Tranesport (group non emergency medical transport)
- Jerome Julian Grove, MD
- Diane Lee Grover, RN
- Lindsay Grover, PA-C
- Sara Audrie Groves
- Thomas Groves, MD
- Grow and Thrive Today
- Grow Out Loud LLC
- Grow Professional Counseling Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.