Individual provider Active NPI

Joella H Michaud, MS OTR L

  • Occupational Therapist
  • Hermon, ME
National Provider Identifier
1255533170
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2031 Issued in ME
Practice address
333 Billings Road
Superintendent's Office.
Hermon, ME 04401
Phone
(207) 848-4000
NPI assigned
Jun 4, 2007
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2031 ME Primary

Addresses

Primary practice location

333 Billings Road
Superintendent's Office.
Hermon, ME 04401

Mailing address

333 Billings Road
P.O. Box 6360 Hermon Town Office, Superintendent's
Hermon, ME 04401
Phone (207) 848-4000

Other identifiers 1

IdentifierTypeStateIssuer
432481099MedicaidME

Other names 1

  • Joella Hebert 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT2031MEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1255533170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BILLINGS ROAD",
            "address_2": "P.O. BOX 6360 HERMON TOWN OFFICE, SUPERINTENDENT'S",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-848-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BILLINGS ROAD",
            "address_2": "SUPERINTENDENT'S OFFICE.",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-848-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "JOELLA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "MS OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432481099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLA",
            "last_name": "HEBERT",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermon, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.