Michelle I Nicoletti, DNP, RN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

251376 Issued in TX

Practice address

7125 New Sanger Ave Ste a
Waco, TX 76712-4054

Phone

(254) 399-5400

Fax

(254) 772-8669

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Diabetes & Endocrine Center of Central Texas PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Waco, TX
  • NPI 1760589782
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881713428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21327",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767021327",
            "telephone_number": "254-399-5441",
            "fax_number": "254-776-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 NEW SANGER AVE STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767124054",
            "telephone_number": "254-399-5400",
            "fax_number": "254-772-8669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W State Hwy 6",
            "address_2": "105",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767105575",
            "country_code": "US",
            "telephone_number": "254-741-6113",
            "fax_number": "254-741-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLETTI",
        "first_name": "MICHELLE",
        "middle_name": "I",
        "credential": "DNP, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "251376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327807901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Lat Taylor Nichols, DO
• Elise Nickle, LCSW
• Nickster, LLC.
• Nickster, LLC.
• Teresa Nicolet
• Megan Diane Nixon, PA-C
• Oneill Niyomugabo, PHARMD.
• Injoh Esther Njung Baya, DNP, FNP-C
• Travis R. Noble, APRN, FNP-C
• Kendall Nobles, FNP

• Family Nurse Practitioner in Waco, TX
• Providers in Waco, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.