Michelle Jeannette, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22443 Issued in AZ

Practice address

7750 E Broadway Blvd Ste A100
Tucson, AZ 85710-3901

Phone

(520) 327-1529

NPI assigned

Mar 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

University of Massachusetts Medical School, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Easter Seals Blake FoundationGroup PAC ID 9335302710, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1548781487
  Medicare reassignment Care Compare group NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Casa Grande, AZ
  • NPI 1528400538
  NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831062603
  NPD
• Ton San Simon Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Sells, AZ
  • NPI 1811165319
  NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Thatcher, AZ
  • NPI 1053828160
  NPD (past)
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Yuma, AZ
  • NPI 1427554708
  NPD (past)
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1932530797
  NPD (past)
• Ton San Xavier Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Tucson, AZ
  • NPI 1518905793
  NPD (past)
• Ton Santa Rosa Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Sells, AZ
  • NPI 1326080425
  NPD (past)
• Ton Sells Hospital

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Sells, AZ
  • NPI 1699717785
  NPD (past)
• Seahurst Pediatrics PLLC

  • Pediatrics Physician
  • Burien, WA
  • NPI 1629002597
  NPD (past)
• Swedish Health Services

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1720033145
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1861469322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103901",
            "telephone_number": "520-327-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103901",
            "telephone_number": "520-327-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 E Florence Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224228",
            "country_code": "US",
            "telephone_number": "520-723-4429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855462721",
            "country_code": "US",
            "telephone_number": "928-362-7343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856351857",
            "country_code": "US",
            "telephone_number": "520-452-9784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 N Allred Ln Suites 104-105",
            "address_purpose": "LOCATION",
            "city": "Thatcher",
            "state": "AZ",
            "postal_code": "85552",
            "country_code": "US",
            "telephone_number": "520-327-1529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 S Meyer Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857012207",
            "country_code": "US",
            "telephone_number": "520-209-2492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5120 E Alberta Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857113119",
            "country_code": "US",
            "telephone_number": "520-514-7480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7756 E Broadway Blvd Ste C100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857104022",
            "country_code": "US",
            "telephone_number": "520-327-1529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3860 W 24th St Ste 201-208",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853649282",
            "country_code": "US",
            "telephone_number": "928-276-9225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANNETTE",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00036503",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00036503",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "22443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191007",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "22443",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8228892",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JCK Hearing AIDS
• JCK Hearing AIDS LLC
• JDW First Assisting Services
• Erold Jean-Francois, MD
• Marie Raphaelle Mona Jean, M.D., MPH
• Lea Serena Jebara
• Jeca Healthcare Services LLC
• Hunter Jecius, MD
• Kristin Elvemo Jecius, MD
• David Todd Jeck, MD

• Psychiatry Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.