Michael Floyd Hughes

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1073656-1-HCBS Issued in MN

Practice address

30190 Ivywood TRL
Chisago City, MN 55013-9635

Phone

(651) 257-1765

NPI assigned

Apr 9, 2014

Last updated

Apr 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1669891313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30190 IVYWOOD TRL",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139635",
            "telephone_number": "651-257-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30190 IVYWOOD TRL",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139635",
            "telephone_number": "651-257-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "MICHAEL",
        "middle_name": "FLOYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1073656-1-HCBS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Paul Gustafson, M.D.
• Marnie Lee Harper, LMFT
• Healing Place at Veritas PSC
• Sheila Hermes, M.ED., LPCC, LADC
• Gabrielle Hoglund, OTR/L
• Anna Johnson, ATC
• Julie Alice Ringhand Johnson
• Kim Johnson, PT
• Randy Roy Johnson, D.C.
• Timothy David Johnson, DC

• Foster Care Agency in Chisago City, MN
• Providers in Chisago City, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.