Active NPI
Micah Pruett, RN
- Registered Nurse
- Huntsville, AL
National Provider Identifier
1174449961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-199172
- Practice address
- 3601 Cci Dr NW
Huntsville, AL 35805-2606 - Phone
- (256) 705-4224
- NPI assigned
- Jun 25, 2026
- Last updated
- Jun 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-199172 | AL | Primary |
Addresses
Primary practice location
3601 Cci Dr NW
Huntsville, AL 35805-2606
Mailing address
478 Wade Rd SE
Owens Cross Roads, AL 35763-9128
Phone (256) 714-7008
Other practice location 1
1 Hospital Dr SW Ste 100
Huntsville, AL 35801-3495
Phone (256) 705-4224
Other practice location 2
201 Sivley Rd SW Ste 10
Huntsville, AL 35801-5138
Phone (256) 705-4224
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1174449961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 WADE RD SE",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "357639128",
"telephone_number": "256-714-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 CCI DR NW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358052606",
"telephone_number": "256-705-4224"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Dr SW Ste 100",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358013495",
"country_code": "US",
"telephone_number": "256-705-4224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Sivley Rd SW Ste 10",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358015138",
"country_code": "US",
"telephone_number": "256-705-4224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRUETT",
"first_name": "MICAH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-25",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-199172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.