Michelle Helene Cormier-Boeckle, ARNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

ARNP1968192 Issued in FL

Practice address

301 N Alexander St
Plant City, FL 33563-4303

Phone

(813) 757-8343

NPI assigned

Jun 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818

  Neonatal

  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1053514224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N ALEXANDER ST FL 3",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634303",
            "telephone_number": "813-757-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634303",
            "telephone_number": "813-757-8343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 Van Dyke Rd Fl Labor2",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335588005",
            "country_code": "US",
            "telephone_number": "813-443-7463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORMIER-BOECKLE",
        "first_name": "MICHELLE",
        "middle_name": "HELENE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "FL",
            "license": "ARNP1968192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304164600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Continucare Medical Management, Inc.
• Conviva Medical Center Management LLC
• Conway & Mathews
• Lisa Michele Cooley, L.M.T.
• Jill Uhl Coots, ARNP
• Cynthia Denisse Cortes, M.D.
• Daymi Cowgill, MD
• Cox Adult Living Facility
• Agnes Crayton
• Crayton'S Quality Home Services LLC

• Neonatal Nurse Practitioner in Plant City, FL
• Providers in Plant City, FL by specialty
• Neonatal Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.