Michelle Dyment Doran, APRN, BC-PCM

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

217472 Issued in MA

Practice address

331 Lafayette St
Salem, MA 01970-5420

Phone

(978) 594-4356

NPI assigned

May 26, 2006

Last updated

Aug 14, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1992751416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SALEM ST STE 3",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019400039",
            "telephone_number": "781-587-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAFAYETTE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705420",
            "telephone_number": "978-594-4356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Salem St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lynnfield",
            "state": "MA",
            "postal_code": "019400039",
            "country_code": "US",
            "telephone_number": "781-587-1403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORAN",
        "first_name": "MICHELLE",
        "middle_name": "DYMENT",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC-PCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "217472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Donahue, M.S.,M.ED.,LMHC,LADC
• Ashrita Donepudi, MD
• Esther Maria Dono de Quiusky, M.D
• Charles A Dooley, PH.D.
• Joseph Charles Dooley, M.D.
• Valerie Dorfman, M.S., CCC-SLP
• Micah Jarrett Doris, RN, BSN
• Calvin J Dorsey, MD
• Dave Dorvilier
• Ashley Doucette

• Gerontology Nurse Practitioner in Salem, MA
• Providers in Salem, MA by specialty
• Gerontology Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.