Active NPI
M Michelle Kerwin, R.N.
- Registered Nurse
- Mesa, AZ
National Provider Identifier
1952446056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN033433
- Practice address
- 1001 N Power Rd
Mesa, AZ 85205-5701 - Phone
- (480) 472-8334
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN033433 | AZ | Primary |
Addresses
Primary practice location
1001 N Power Rd
Mesa, AZ 85205-5701
Mailing address
1025 N Country Club Dr
Mesa, AZ 85201-3307
Phone (480) 472-0562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN033433 | Other | AZ | RN LICENSE NUMBER |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN033433 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952446056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852013307",
"telephone_number": "480-472-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N POWER RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852055701",
"telephone_number": "480-472-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERWIN",
"first_name": "M",
"middle_name": "MICHELLE",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN033433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE NUMBER",
"identifier": "RN033433",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
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.