Kendra Leona Michel

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

09776 Issued in MD

Practice address

65 Herrington Dr
Upper Marlboro, MD 20774-1545

Phone

(301) 808-4060

NPI assigned

Oct 6, 2015

Last updated

Mar 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1568832210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 SCHOOL LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722866",
            "telephone_number": "301-952-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HERRINGTON DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741545",
            "telephone_number": "301-808-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10205 Lake Arbor Way",
            "address_purpose": "LOCATION",
            "city": "Mitchellville",
            "state": "MD",
            "postal_code": "207213179",
            "country_code": "US",
            "telephone_number": "301-808-5940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Largo Rd",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207742121",
            "country_code": "US",
            "telephone_number": "301-808-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Campus Way N",
            "address_purpose": "LOCATION",
            "city": "Mitchellville",
            "state": "MD",
            "postal_code": "207211856",
            "country_code": "US",
            "telephone_number": "301-808-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "KENDRA",
        "middle_name": "LEONA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025382",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122616",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09776",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "969633146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.