Individual provider Active NPI

Michaelena Jo Oberschlake

  • Basic Emergency Medical Technician
  • Portsmouth, VA
National Provider Identifier
1851731228
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
Practice address
1019 Ann St
Apt D3
Portsmouth, VA 23704-2262
Phone
(770) 335-7941
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X Primary

Addresses

Primary practice location

1019 Ann St
Apt D3
Portsmouth, VA 23704-2262

Mailing address

1019 Ann St
Apt. D3
Portsmouth, VA 23704-2262
Phone (770) 335-7941

Other names 1

  • Michaelena Jo Carney Former name

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1851731228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 ANN ST",
            "address_2": "APT. D3",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042262",
            "telephone_number": "770-335-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 ANN ST",
            "address_2": "APT D3",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042262",
            "telephone_number": "770-335-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERSCHLAKE",
        "first_name": "MICHAELENA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELENA",
            "last_name": "CARNEY",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.