Individual provider Active NPI

Michelle Lemech, RN MS

  • Registered Nurse
  • Bolingbrook, IL
National Provider Identifier
1942661368
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
226651-30 Issued in WI
Practice address
105 Canterbury LN
Unit 2042
Bolingbrook, IL 60440-0490
Phone
(570) 815-9239
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 226651-30 WI Primary
Registered Nurse 163W00000X RN559304 PA
Registered Nurse 163W00000X 764554 CA

Addresses

Primary practice location

105 Canterbury LN
Unit 2042
Bolingbrook, IL 60440-0490

Mailing address

105 Canterbury LN
Unit 2042
Bolingbrook, IL 60440-0490
Phone (570) 815-9239

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
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
764554CAMDRegistered Nurse
RN559304PAMDRegistered Nurse
226651-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1942661368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CANTERBURY LN",
            "address_2": "UNIT 2042",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604400490",
            "telephone_number": "570-815-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CANTERBURY LN",
            "address_2": "UNIT 2042",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604400490",
            "telephone_number": "570-815-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMECH",
        "first_name": "MICHELLE",
        "credential": "RN MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "226651-30",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN559304",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "764554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.