Individual provider Active NPI

Michelle Lynn Habets, P.A.

  • Physician Assistant
  • Fair Oaks, CA
National Provider Identifier
1558387936
Registry record updated Jun 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23308 Issued in CA
Practice address
8067 Hidden View Cir
Fair Oaks, CA 95628-5965
Phone
(734) 904-5410
NPI assigned
Jul 15, 2006
Last updated
Jun 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003773 MI
Physician Assistant 363A00000X PA23308 CA Primary

Addresses

Primary practice location

8067 Hidden View Cir
Fair Oaks, CA 95628-5965

Mailing address

9179 Falcon Ridge LN
Fair Oaks, CA 95628-6597
Phone (734) 904-5410

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006177GAMDRehabilitation Chiropractor
PA23308CAMDPhysician Assistant
003773MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Genesis Family Health Center, PLC Past Accepting new patients
Omni Health Services, LTD Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1558387936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 FALCON RIDGE LN",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286597",
            "telephone_number": "734-904-5410",
            "fax_number": "310-954-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8067 HIDDEN VIEW CIR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285965",
            "telephone_number": "734-904-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABETS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "003773",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; 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.