Individual provider Active NPI

Michelle Renae Nelson, RRT

  • Registered Respiratory Therapist
  • Gainesville, FL
National Provider Identifier
1073832747
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT9149 Issued in FL
Practice address
4229 SW 68TH Ter
Unit D
Gainesville, FL 32608-6479
Phone
(352) 443-9303
Fax
(352) 264-0392
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RT9149 FL Primary

Addresses

Primary practice location

4229 SW 68TH Ter
Unit D
Gainesville, FL 32608-6479

Mailing address

4229 SW 68TH Ter
Unit D
Gainesville, FL 32608-6479
Phone (352) 443-9303

Other names 1

  • Ms. Michelle Renae Wilkes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT9149FLMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1073832747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 SW 68TH TER",
            "address_2": "UNIT D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326086479",
            "telephone_number": "352-443-9303",
            "fax_number": "352-264-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 SW 68TH TER",
            "address_2": "UNIT D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326086479",
            "telephone_number": "352-443-9303",
            "fax_number": "352-264-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHELLE",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT9149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WILKES",
            "middle_name": "RENAE",
            "prefix": "MS.",
            "credential": "RRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.