Michelle Doriety, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20926669 Issued in IL

Practice address

6501 S Promontory Dr
Chicago, IL 60649-1003

Phone

(773) 363-6700

NPI assigned

Feb 3, 2023

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

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.doriety.1@11074.direct.athenahealth.com

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.

• Christian Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1790888238
  Medicare reassignment NPD
• Christian Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lansing, IL
  • NPI 1750619680
  NPD
• Christian Community Health Center

  • Federally Qualified Health Center (FQHC)
  • South Holland, IL
  • NPI 1912170457
  NPD

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1972209690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 S PROMONTORY DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491003",
            "telephone_number": "773-363-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIETY",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "20926669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dorfman, LCSW
• Christopher Sean Patrick Dorgan, MD
• Danielle Dorgan, FNP-C
• Dori Peace, LLC
• Grace Diehl Dorian
• Stephen D Dorigan, PT
• Corrine Dority
• Meghan J Dorka
• James Richard Dorman, M.D.
• Robin M Dorman, PSY.D

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.