Individual provider Active NPI

Patricia Michel

  • Home Health Aide
  • West Palm Beach, FL
National Provider Identifier
1235747015
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
CNA90711 Issued in FL
Practice address
10860 Grande Blvd
West Palm Beach, FL 33412-1330
Phone
(561) 762-5849
NPI assigned
Jul 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X CNA90711 FL Primary

Addresses

Primary practice location

10860 Grande Blvd
West Palm Beach, FL 33412-1330

Mailing address

PO Box 11842
Riviera Beach, FL 33419-1842

Other identifiers 1

IdentifierTypeStateIssuer
CNA90711OtherFLCERTIFIED NURSING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Michelpatricia3029@gmail.com

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
CNA90711FLMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1235747015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11842",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334191842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 GRANDE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121330",
            "telephone_number": "561-762-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "CNA90711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSING LICENSE",
            "identifier": "CNA90711",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Michelpatricia3029@gmail.com",
            "affiliation": "N",
            "address_1": "10860 Grande Blvd",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334121330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.