Individual provider Active NPI

Michelle Angela Ranger

  • Adult Care Home Facility
  • Port St Lucie, FL
National Provider Identifier
1922657105
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906999 Issued in FL
Practice address
797 SW Sail Ter
Port St Lucie, FL 34953-2630
Phone
(772) 344-5714
Fax
(772) 344-5714
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906999 FL Primary

Addresses

Primary practice location

797 SW Sail Ter
Port St Lucie, FL 34953-2630

Mailing address

797 SW Sail Ter
Port St Lucie, FL 34953-2630
Phone (772) 344-5714

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

State licenses

LicenseStateTypeSpecialty
6906999FLMDAdult Care Home Facility

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1922657105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 SW SAIL TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532630",
            "telephone_number": "772-344-5714",
            "fax_number": "772-344-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 SW SAIL TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532630",
            "telephone_number": "772-344-5714",
            "fax_number": "772-344-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGER",
        "first_name": "MICHELLE",
        "middle_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.