Individual provider Active NPI

Michelle Killins

  • Prevention Professional
  • Columbus, OH
National Provider Identifier
1306429154
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
QF-2235-3561 Issued in TX
Practice address
1579 S High St
Columbus, OH 43207-1804
Phone
(225) 329-8882
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X QF-2235-3561 TX Primary

Addresses

Primary practice location

1579 S High St
Columbus, OH 43207-1804

Mailing address

1579 S High St
Columbus, OH 43207-1804

Other identifiers 2

IdentifierTypeStateIssuer
QF-2235-3561OtherTXD-SAACP
1659952299OtherOHOHIO

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL WORLDLEADERS.ACADEMY WORLD LEADERSHIP ACADEMY INC
Other URL worldleaders.academy Direct WORLD LEADERSHIP ACADEMY INC
Other URL WORLDLEADERS.ACADEMY Direct WORLD LEADERSHIP ACADEMY INC

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
QF-2235-3561TXMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
World Leadership Academy Inc Multi-Specialty Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1306429154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071804",
            "telephone_number": "225-329-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLINS",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": "TX",
            "license": "QF-2235-3561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D-SAACP",
            "identifier": "QF-2235-3561",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO",
            "identifier": "1659952299",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WORLDLEADERS.ACADEMY",
            "affiliation": "Y",
            "affiliationName": "WORLD LEADERSHIP ACADEMY INC",
            "address_1": "1579 S High St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432071804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "worldleaders.academy",
            "affiliation": "Y",
            "endpointDescription": "Direct Address",
            "affiliationName": "WORLD LEADERSHIP ACADEMY INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1579 S High St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432071804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WORLDLEADERS.ACADEMY",
            "affiliation": "Y",
            "endpointDescription": "DIRECT",
            "affiliationName": "WORLD LEADERSHIP ACADEMY INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1579 S High St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432071804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.