Individual provider Active NPI

Michelle Ann Stone, NP-C

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1871856278
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005646 Issued in NC
Practice address
8300 Falls of Neuse Rd Ste 112
Raleigh, NC 27615-3450
Phone
(919) 861-8999
Fax
(919) 861-8998
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5005646 NC Primary

Addresses

Primary practice location

8300 Falls of Neuse Rd Ste 112
Raleigh, NC 27615-3450

Mailing address

8300 Falls of Neuse Rd
Raleigh, NC 27615-3450
Phone (919) 861-8999

Other practice location 1

6905 Fayetteville Rd
Suite 201
Durham, NC 27713-7085
Phone (919) 490-8899

Other names 1

  • Michelle Ann Kennedy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150119000477 NC Order and Referring Only - Nurse Practitioner 2466776604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1871856278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153450",
            "telephone_number": "919-861-8999",
            "fax_number": "919-861-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 FALLS OF NEUSE RD STE 112",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153450",
            "telephone_number": "919-861-8999",
            "fax_number": "919-861-8998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6905 Fayetteville Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277137085",
            "country_code": "US",
            "telephone_number": "919-490-8899",
            "fax_number": "919-490-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KENNEDY",
            "middle_name": "ANN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.