Active NPI
Mickelyn Graves Houghton, APRN-CNM
- Advanced Practice Midwife
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11021795
- Practice address
- 1129 N Missouri Ave
Lakeland, FL 33805-4411 - Phone
- (866) 234-8534
- NPI assigned
- Sep 12, 2022
- Last updated
- Feb 7, 2024
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN11021795 | FL | Primary |
Addresses
Primary practice location
1129 N Missouri Ave
Lakeland, FL 33805-4411
Mailing address
47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534
Other practice location 1
165 Montgomery Rd
Altamonte Springs, FL 32714-3102
Phone (407) 878-2757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tree of Life Birth and Gynecology | Advanced Practice Midwife | Current | Accepting new patients |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Central Florida Health Care, Inc | Past | Accepting new patients | |
| Central Florida Health Care Inc | Past | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Central Florida Health Care, Inc. | Past | Accepting new patients | |
| Central Florida Health Care Inc | Past | Accepting new patients | |
| Central Florida Health Care, Inc | Past | Accepting new patients |
Locations
165 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 878-2757
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
47 5th St NW
Winter Haven, FL 33881
Interoperability endpoints
- mickelyn.houghton.1@12125.direct.athenahealth.com
Organizations & group practices 13
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.
-
dba Central Florida Health Care Frostproof
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
- Federally Qualified Health Center (FQHC)
- Lake Wales, FL
- NPI 1992316285
-
- Birthing Clinic/Center
- Altamonte Springs, FL
- NPI 1053617696
Advanced Practice Midwife
-
dba Central Florida Health Care - Winter Haven Center
- Federally Qualified Health Center (FQHC)
- Winter Haven, FL
- NPI 1467752998
-
dba Central Florida Health Care-Wauchula
- Multi-Specialty Clinic/Center
- Wauchula, FL
- NPI 1811156672
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1407615826
-
- Federally Qualified Health Center (FQHC)
- Avon Park, FL
- NPI 1831232669
-
dba Central Florida Health Care - Dundee
- Federally Qualified Health Center (FQHC)
- Dundee, FL
- NPI 1063408813
-
dba Central Florida Health Care - Avon Park
- Federally Qualified Health Center (FQHC)
- Avon Park, FL
- NPI 1063409290
-
dba Central Florida Health Care-Lakeland Primary Care
- Federally Qualified Health Center (FQHC)
- Lakeland, FL
- NPI 1386835064
-
dba Central Florida Health Care - Dundee
- Multi-Specialty Clinic/Center
- Dundee, FL
- NPI 1720247588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1356063911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 5TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814672",
"telephone_number": "866-234-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 N MISSOURI AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054411",
"telephone_number": "866-234-8534"
}
],
"practiceLocations": [
{
"address_1": "165 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "327143102",
"country_code": "US",
"telephone_number": "407-878-2757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUGHTON",
"first_name": "MICKELYN",
"middle_name": "GRAVES",
"name_prefix": "Mrs.",
"credential": "APRN-CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11021795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.