Provider Demographics
NPI:1043351513
Name:KASKEY, MICHELLE (APRN, BC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:KASKEY
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CENTER CT
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3006
Mailing Address - Country:US
Mailing Address - Phone:413-586-3319
Mailing Address - Fax:
Practice Address - Street 1:9 CENTER CT
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3006
Practice Address - Country:US
Practice Address - Phone:413-586-3319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARNPC159248163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
090565 01OtherCLINICAL SPECIALIST CERT
MA105510OtherMBC
765882OtherTUFTS INSURANCE
MAPN0108OtherBLUE CROSS BLUE SHIELD ID
009648OtherVALUEOPTIONS
423042OtherHARVARD PILGRIM
MARNPC 159248OtherNURSING LICENSE
423042OtherHARVARD PILGRIM
MARNPC 159248OtherNURSING LICENSE