Active NPI
Rodina Micourt
- Behavior Analyst
- Tallahassee, FL
National Provider Identifier
1730853391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1725 Hermitage Blvd
Tallahassee, FL 32308-7709 - Phone
- (850) 325-6301
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1725 Hermitage Blvd
Tallahassee, FL 32308-7709
Mailing address
1725 Hermitage Blvd
Tallahassee, FL 32308-7709
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rodina.micourt@progressivepediatric.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1730853391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 HERMITAGE BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323087709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 HERMITAGE BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323087709",
"telephone_number": "850-325-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICOURT",
"first_name": "RODINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-05",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rodina.micourt@progressivepediatric.org",
"affiliation": "N",
"address_1": "1725 Hermitage Blvd",
"city": "Tallahassee",
"state": "FL",
"country_code": "US",
"postal_code": "323087709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.