Micaela Harrison, DNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11035256 Issued in FL

Practice address

3055 County Road 210 W Ste 105
St Johns, FL 32259-7001

Phone

(904) 223-9100

NPI assigned

Dec 2, 2024

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

Other names 1

• Micaela Hayton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatrica Health of Florida, LLC

  • Pediatric Adolescent Medicine Physician
  • Jacksonville, FL
  • NPI 1316385164
  NPD (past)
• West Point Optical Group

  • Optometrist
  • Ann Arbor, MI
  • NPI 1073983698
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1467278895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SEAPORT BREEZE RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320950138",
            "telephone_number": "720-301-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 COUNTY ROAD 210 W STE 105",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322597001",
            "telephone_number": "904-223-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MICAELA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11035256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAELA",
            "last_name": "HAYTON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Haliko
• Jasmine Kim Han
• Gabrielle Shaw Hardman, DC
• Robert Trevor Hardman
• Leslie Jennice Harrison, LMFT
• Hathcock Counseling, LLC
• Dana M Hatwig, APRN
• Healing Heart Behavioral Consultation
• Healing Roots Chiropractic Centers LLC
• Healx Care LLC (Revive Wound & Wellness)

• Pediatric Nurse Practitioner in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.