MRS. GRETCHEN TOUMA MICHAELSON APRN NPI 1508898800

NPI Information

NPI: 1508898800
Provider Name: MRS. GRETCHEN TOUMA MICHAELSON, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1741 ELLINGTON RD STE 1
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 263-3603
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MRS. Gretchen Touma Michaelson, APRN is an adult health nurse practitioner in South Windsor, CT with 20 years of experience. MRS. Gretchen Touma Michaelson, APRN NPI is 1508898800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

1741 ELLINGTON RD STE 1
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 263-3603
Fax: (860) 254-6167

The NPI 1508898800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	074698	CONNECTICUT	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	241128	MASSACHUSETTS	No
3	363LA2200X	Nurse Practitioner	Adult Health	003107	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2V5468	OTHER		HEALTHNET
2	030107	OTHER		CONNECTICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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