Active NPI
Michelle T Pickett, LPN
- Community Health Worker
- Kissimmee, FL
National Provider Identifier
1417415308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 260 Cranbrook Dr
Kissimmee, FL 34758 - Phone
- (407) 485-9778
- NPI assigned
- Mar 9, 2019
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
260 Cranbrook Dr
Kissimmee, FL 34758
Mailing address
260 Cranbrook Dr
Kissimmee, FL 34758-3029
Phone (407) 485-9778
Other practice location 1
260 Cranbrook Dr
Kissimmee, FL 34758
Phone (407) 485-9778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1417415308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 CRANBROOK DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583029",
"telephone_number": "407-485-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 CRANBROOK DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34758",
"telephone_number": "407-485-9778"
}
],
"practiceLocations": [
{
"address_1": "260 Cranbrook Dr",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "34758",
"country_code": "US",
"telephone_number": "407-485-9778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICKETT",
"first_name": "MICHELLE",
"middle_name": "T",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-09",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.