Active NPI
Michelle Song Henry, DNP-FNP
- Family Nurse Practitioner
- Ocala, FL
National Provider Identifier
1376285411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11024024
- Practice address
- 2300 S Pine Ave
Ocala, FL 34471-5150 - Phone
- (352) 861-4600
- NPI assigned
- Apr 9, 2022
- Last updated
- Jul 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R199523 | MD | |
| Family Nurse Practitioner | 363LF0000X | APRN11024024 | FL | Primary |
Addresses
Primary practice location
2300 S Pine Ave
Ocala, FL 34471-5150
Mailing address
2300 S Pine Ave
Ocala, FL 34471-5150
Phone (352) 861-4600
Other practice location 1
10180 SE 69th Ave
Belleview, FL 34420-9341
Phone (202) 960-9072
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11024024 | FL | MD | Family Nurse Practitioner |
| R199523 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Pain Clinic, Inc | Current | Accepting new patients |
Locations
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
2300 S Pine Ave
Ocala, FL 34471
Phone (352) 861-4600
Organizations & group practices 1
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 Florida Pain Clinic
- Pain Medicine (Anesthesiology) Physician
- Ocala, FL
- NPI 1043204415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1376285411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 S PINE AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344715150",
"telephone_number": "352-861-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S PINE AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344715150",
"telephone_number": "352-861-4600"
}
],
"practiceLocations": [
{
"address_1": "10180 SE 69th Ave",
"address_purpose": "LOCATION",
"city": "Belleview",
"state": "FL",
"postal_code": "344209341",
"country_code": "US",
"telephone_number": "202-960-9072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "MICHELLE",
"middle_name": "SONG",
"name_prefix": "Dr.",
"credential": "DNP-FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-09",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R199523",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11024024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.