Michaela Redding
Individual provider Active NPI Licensed Vocational Nurse · Willis Point, TX
NPI 1144828344 · NPPES record last updated Oct 12, 2020
Key facts
- NPI
- 1144828344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 351997 (TX)
- Practice address
- 4581 VZ CR 2112
Willis Point, TX 75169 - Phone
- (469) 323-4688
- NPI assigned
- Oct 12, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 351997 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 351997 | TX | Yes |
Addresses
Primary practice location
4581 VZ CR 2112
Willis Point, TX 75169
Mailing address
4581 VZ CR 2112
Willis Point, TX 75169
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.