Jacqueline Patrice McMichel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6016 Issued in TN

Practice address

1710 Magnolia Blvd
Nashville, TN 37212-3764

Phone

(615) 383-2557

Fax

(615) 292-2061

NPI assigned

Nov 18, 2016

Last updated

Nov 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Jacqueline Patrice Gill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1326581661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 MAGNOLIA BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123764",
            "telephone_number": "615-383-2557",
            "fax_number": "615-292-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 MAGNOLIA BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123764",
            "telephone_number": "615-383-2557",
            "fax_number": "615-292-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICHEL",
        "first_name": "JACQUELINE",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6016",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004354A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GILL",
            "middle_name": "PATRICE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Andrews McMaster, CRNA
• Nathan McMasters, CRNA
• Ashley McMeen, LCSW
• Sarah McMeen
• Bliss A. McMichael, RPH,PHARMD
• David Williams McMillan, PH.D.
• Douglas Wesley McMillan, D.D.S.
• Jessica McMillan, PMHNP-BC, RN
• Lena McMillan, WHNP, CNM
• Ashley McMillen, LCSW

• Physical Therapy Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.