Active NPI
Mike Valcy, MA, LMT#82541
- Community Health Worker
- Fort Lauderdale, FL
National Provider Identifier
1508310822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- LMT 82541
- Practice address
- 1010 Seminole Dr
106
Fort Lauderdale, FL 33304-3201 - Phone
- (954) 604-1212
- NPI assigned
- Aug 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | LMT 82541 | FL | Primary |
Addresses
Primary practice location
1010 Seminole Dr
106
Fort Lauderdale, FL 33304-3201
Mailing address
1010 Seminole Dr
106
Fort Lauderdale, FL 33304-3201
Phone (954) 604-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | FL | AFFORDABLE CARE ACT |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMT 82541 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1508310822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 SEMINOLE DR",
"address_2": "106",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043201",
"telephone_number": "954-604-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SEMINOLE DR",
"address_2": "106",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333043201",
"telephone_number": "954-604-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALCY",
"first_name": "MIKE",
"credential": "MA, LMT#82541",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "LMT 82541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.