Mikel Mishelle Smith, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60326297 Issued in WA

Practice address

112 S Elliott Ave
Wenatchee, WA 98801-2500

Phone

(509) 663-7117

NPI assigned

Apr 27, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Wenatchee School District

  • Local Education Agency (LEA)
  • Wenatchee, WA
  • NPI 1477655629
  NPD (past)

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1407476831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N HANFORD AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024938",
            "telephone_number": "509-415-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S ELLIOTT AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012500",
            "telephone_number": "509-663-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIKEL",
        "middle_name": "MISHELLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60326297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathreen E Smith, BA
• Larry O Smith, MD
• Laura Smith, RD
• Liza Smith, ARNP
• Mary Caitrin Smith, ARNP
• Morgan Page Smith
• Rosario Smith
• Sara J Smith, LMP
• Sarah Mary Smith, RN
• Shyla Smith, M.A.

• Occupational Therapy Assistant in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.