Jessica Michaelsen

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

700 W 23Rd St BLDG E40
Panama City, FL 32405-3936

Phone

(850) 747-5411

Fax

(850) 747-5583

NPI assigned

Jan 8, 2020

Last updated

Feb 25, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Sonder Academy

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1023549680
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1346880333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 23RD ST BLDG E40",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053936",
            "telephone_number": "850-747-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 23RD ST BLDG E40",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053936",
            "telephone_number": "850-747-5411",
            "fax_number": "850-747-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 S John Rodes Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329041093",
            "country_code": "US",
            "telephone_number": "321-241-1170",
            "fax_number": "321-241-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELSEN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Reed MD PA
• Michael W. Hennigan, P.a.
• Michael X Rohan MD PA
• Alecia Lee Michael, RBT
• Gordon L Michaels
• Christopher Stephen Michaelson, DO
• Michelle Hines Bautista Arnp Inc (The Hormone and Wellness Center)
• Mid-South Home Care Services, LLC (Gentiva Respiratory Services & HME)
• Midway Medical Clinic II
• Lorena Shannon Milani, CRNA

• Social Worker in Panama City, FL
• Providers in Panama City, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.