Individual provider Active NPI

Michelle Leigh Lakey, FNP

  • Family Nurse Practitioner
  • Atascadero, CA
National Provider Identifier
1861262594
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028258 Issued in CA
Practice address
9700 El Camino Real Ste 100
Atascadero, CA 93422-5571
Phone
(805) 466-1330
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028258 CA Primary

Addresses

Primary practice location

9700 El Camino Real Ste 100
Atascadero, CA 93422-5571

Mailing address

2641 La Mirada LN
Los Osos, CA 93402-4431
Phone (805) 215-3715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214003249 CA Practitioner - Nurse Practitioner 5799129003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Urgent Care IncGroup PAC ID 2264561125, 12 clinicians

Practice addresses (Care Compare)

9700 El Camino Real
Suite 100
Atascadero, CA 93422-5571
Phone (805) 466-1330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Urgent Care Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

9700 El Camino Real
Ste 100
Atascadero, CA 93422
Phone (805) 461-9000

783 Quintana Rd
Ste 1
Morro Bay, CA 93442
Phone (805) 771-0108

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1861262594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 LA MIRADA LN",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934024431",
            "telephone_number": "805-215-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL STE 100",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225571",
            "telephone_number": "805-466-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKEY",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.