Active NPI
Michelle Mahaney, ARNP
- Nurse Practitioner
- Ft Myers, FL
National Provider Identifier
1336190073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 3362742
- Practice address
- 7981 Gladiolus Dr
Ft Myers, FL 33908-4154 - Phone
- (239) 425-6629
- Fax
- (239) 425-0795
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 3362742 | FL | Primary |
Addresses
Primary practice location
7981 Gladiolus Dr
Ft Myers, FL 33908-4154
Mailing address
7981 Gladiolus Dr
Ft Myers, FL 33908-4154
Phone (239) 425-6629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303976500 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 3362742 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1336190073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7981 GLADIOLUS DR",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339084154",
"telephone_number": "239-425-6629",
"fax_number": "239-425-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7981 GLADIOLUS DR",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339084154",
"telephone_number": "239-425-6629",
"fax_number": "239-425-0795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHANEY",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 3362742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303976500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.