Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Michelle Faraday Demitri, NP

Individual provider Family Nurse Practitioner · NPI 1710925623

Mrs. Michelle Faraday Demitri, NP is a Nurse Practitioner in Los Angeles, California. Qualified in 2003, 23 years ago. Practices with Gracelight Community Health, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

150 N Reno St
Los Angeles, CA 90026-4656
Phone: (213) 380-7298
Fax: (213) 385-1123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14546 (CA)

Record details

NPI number1710925623
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Gracelight Community Health — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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