Michelle Cummings Puckett

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

License

1-102812 Issued in AL

Practice address

1600 7TH Ave S
Birmingham, AL 35233-1711

Phone

(205) 638-5900

Fax

(205) 638-5920

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 2020By 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 1

Addresses

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1396361051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2328",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352012328",
            "telephone_number": "256-212-5911",
            "fax_number": "205-212-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-638-5900",
            "fax_number": "205-638-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "MICHELLE",
        "middle_name": "CUMMINGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "AL",
            "license": "1-102812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Alabama LLC (Publix Pharmacy #1545)
• Publix Alabama LLC (Publix Pharmacy #1512)
• Publix Alabama, LLC (Publix Pharmacy #1627)
• Andrew David Pucker, OD, PHD
• Michelle Puckett, OTR/L
• Arlee Peres Pugh, LPC
• Donica Pugh, ALC
• Lisa Pugh, LPN, MAS
• Michael Pugh, PA-C, CNMT
• Camilla Grace Puglia

• Rehabilitation Registered Nurse in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Rehabilitation Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.