Individual provider Active NPI

Michelle D Carrozza, LPN

  • Licensed Practical Nurse
  • Philadelphia, PA
National Provider Identifier
1902993439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN268000 Issued in PA
Practice address
8220 Castor Avenue
Philadelphia, PA 19152
Phone
(215) 728-4377
Fax
(267) 350-4887
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN268000 PA Primary

Addresses

Primary practice location

8220 Castor Avenue
Philadelphia, PA 19152

Mailing address

8220 Castor Avenue
Philadelphia, PA 19152
Phone (215) 728-4377

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

LicenseStateTypeSpecialty
PN268000PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902993439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 CASTOR AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-728-4377",
            "fax_number": "267-350-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 CASTOR AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-728-4377",
            "fax_number": "267-350-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROZZA",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN268000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.