DR. KEVIN JAMES MICHAUD (NPI# 1962648097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962648097 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JAMES MICHAUD |
| Credential | D.C. |
| Practice Address |
112 Spencer St Suite 1b Manchester CT 06040-4601 |
| Practice Telephone | 8605330094 |
| Practice Fax Number | 8605330122 |
| Mailing Telephone | 8605330094 |
| Mailing Fax Number | 8605330122 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 001781 | CT | Chiropractic Providers |
| Street Address |
112 SPENCER ST SUITE 1B |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518930957 | Richard M Shoup | Internal Medicine | 112 Spencer St, Manchester, CT 06040-4601 | 2006-02-08 |
| 1578002887 | Debra Cohn | Physician Assistant | 112 Spencer St, Manchester, CT 06040-4601 | 2017-02-20 |
| 1548634942 | Christina Krzywicki | Student in an Organized Health Care Education/Training Program | 112 Spencer St, 3rd Floor, Manchester, CT 06040-4601 | 2015-11-23 |
| 1417220120 | Michaud Chiropractic, LLC | Chiropractor | 112 Spencer St, Suite 1b, Manchester, CT 06040-4601 | 2012-02-13 |
| 1790813590 | Sleep Medicine Associates, LLC | Internal Medicine | 112 Spencer St, Manchester, CT 06040-4601 | 2007-03-01 |
| 1902934375 | Navasuma Havaligi | Internal Medicine | 112 Spencer St, Manchester, CT 06040-4601 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651043 | Carlton Brandon Long | Chiropractor | 302 S Woodland St, Manchester, TN 37355-1761 | 2019-04-15 |
| 1154893832 | Hs1 LLC | Chiropractor | 545 Hooksett Rd Unit 20, Manchester, NH 03104-2654 | 2018-12-19 |
| 1306332556 | Mitchell Aaron Crema | Chiropractor | 909 W Main St Ste 2, Manchester, IA 52057-1506 | 2018-07-10 |
| 1407340672 | Bazzani Chiropractic Manchester, LLC | Chiropractor | 1361 Elm St Ste 104, Manchester, NH 03101-1315 | 2018-06-20 |
| 1578062899 | Pride Health Corp | Chiropractor | 431 Lafayette Ctr, Manchester, MO 63011-3943 | 2018-02-02 |
| 1306394754 | Yojana Shahi | Chiropractor | 117 Tudor Ln Apt J, Manchester, CT 06042-8212 | 2016-09-14 |
| 1407304009 | Mary Macnicol | Chiropractor | 331 Harvard St, #2, Manchester, NH 03103-5528 | 2016-09-13 |
| 1528405198 | Manchester Spine Center, LLC | Chiropractor | 364 E Center St, Manchester, CT 06040-4440 | 2013-05-23 |
| 1639424716 | Ryan Frederick Theen | Chiropractor | 13861 Manchester Rd, Manchester, MO 63011-4503 | 2012-07-16 |
| 1376873133 | Kristen Mae Goldner | Chiropractor | 765 S Main St Ste 201, Manchester, NH 03102-5141 | 2009-12-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.