Active NPI
Michelle Prouet
- Occupational Therapy Assistant
- Mount Juliet, TN
National Provider Identifier
1316690605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA0000003649
- Practice address
- 368 Quarry Loop Rd
Mt Juliet, TN 37122-7206 - Phone
- (615) 443-4445
- NPI assigned
- Jan 27, 2022
- Last updated
- Jan 27, 2022
- 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 Therapy Assistant | 224Z00000X | OTA0000003649 | TN | Primary |
Addresses
Primary practice location
368 Quarry Loop Rd
Mt Juliet, TN 37122-7206
Mailing address
8252 Persia Way
Nashville, TN 37211-7077
Phone (337) 356-1226
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 |
|---|---|---|---|
| OTA0000003649 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1316690605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8252 PERSIA WAY",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372117077",
"telephone_number": "337-356-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 QUARRY LOOP RD",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371227206",
"telephone_number": "615-443-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROUET",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TN",
"license": "OTA0000003649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Juliet, TN
- Privia Medical Group Tennessee LLC (Sports Ortho Urgent Care)
- Procure Health LLC
- Michael Angelo Proetta, D.C.
- Robin Marie Proetta, D.C.
- Protech Medical LLC
- Providence Dental Care, Inc.
- Provision Health Solutions, LLC
- Maggie Sophia Pruett-Ray
- Publix Tennessee LLC (Publix Pharmacy #1220)
- Publix Tennessee LLC (Publix Pharmacy #1268)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.