Michelle Mahan Wamsley, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

322286 Issued in TX

Practice address

800 N Shoreline Blvd Ste 700S
Corpus Christi, TX 78401-3718

Phone

(361) 937-7887

NPI assigned

Feb 15, 2019

Last updated

Feb 15, 2019By the provider in NPPES

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 names 1

• Ms. Michelle Anita Mahan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1912463837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 FOREST OAK",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783744153",
            "telephone_number": "361-445-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N SHORELINE BLVD STE 700S",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784013718",
            "telephone_number": "361-937-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMSLEY",
        "first_name": "MICHELLE",
        "middle_name": "MAHAN",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "322286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MAHAN",
            "middle_name": "ANITA",
            "prefix": "MS.",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Licensed Vocational Nurse in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.