Active NPI
Michelle Moorefield
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1225630882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT21106
- Practice address
- 6900 Southpoint Dr N
Jacksonville, FL 32216-8007 - Phone
- (904) 470-6900
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT21106 | FL | Primary |
Addresses
Primary practice location
6900 Southpoint Dr N
Jacksonville, FL 32216-8007
Mailing address
7635 Timberlin Park Blvd Apt 113
Jacksonville, FL 32256-6718
Other practice location 1
2001 Kingsley Ave
Orange Park, FL 32073-5156
Phone (904) 639-8500
Other practice location 2
6209 Brooks Bartram Dr
Jacksonville, FL 32258-5601
Phone (904) 528-3010
Other practice location 3
6210 Beach Blvd
Jacksonville, FL 32216-2706
Phone (904) 345-8100
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.moorefield@va.gov | Direct | |
| Direct Messaging Address | michelle.moorefield@hcahealthcare.com | Direct | |
| Direct Messaging Address | michelle.moorefield@brooksrehab.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT21106 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Industries Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Nurse Practitioner
- Boynton Beach, FL
- NPI 1528019247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1225630882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7635 TIMBERLIN PARK BLVD APT 113",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 SOUTHPOINT DR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168007",
"telephone_number": "904-470-6900"
}
],
"practiceLocations": [
{
"address_1": "2001 Kingsley Ave",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320735156",
"country_code": "US",
"telephone_number": "904-639-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6209 Brooks Bartram Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322585601",
"country_code": "US",
"telephone_number": "904-528-3010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6210 Beach Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322162706",
"country_code": "US",
"telephone_number": "904-345-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOOREFIELD",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT21106",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.moorefield@va.gov",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6900 Southpoint Dr N",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322168007",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.moorefield@hcahealthcare.com",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2001 Kingsley Ave",
"city": "Orange Park",
"state": "FL",
"country_code": "US",
"postal_code": "320735156",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.moorefield@brooksrehab.org",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6210 Beach Blvd",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322162706",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.