Individual provider Active NPI

Michael Allen Durrett, HHP, LMT

  • Contractor
  • The Woodlands, TX
National Provider Identifier
1437314861
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
06011676 Issued in CA
Practice address
26411 Oak Ridge Dr
The Woodlands, TX 77380-1964
Phone
(832) 858-3424
NPI assigned
Jul 24, 2008
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 06011676 CA Primary

Addresses

Primary practice location

26411 Oak Ridge Dr
The Woodlands, TX 77380-1964

Mailing address

26411 Oak Ridge Dr
The Woodlands, TX 77380-1964
Phone (832) 858-3424

Other practice location 1

4032 Kansas St
San Diego, CA 92104-2508
Phone (619) 849-9695

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

State licenses

LicenseStateTypeSpecialty
06011676CAMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1437314861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26411 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801964",
            "telephone_number": "832-858-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26411 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801964",
            "telephone_number": "832-858-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4032 Kansas St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921042508",
            "country_code": "US",
            "telephone_number": "619-849-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURRETT",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "HHP, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "06011676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.