Michelle Henne, M.D., P.a.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

MICHELLE HENNE, M.D., P.A.

Practice address

5421 S Florida Ave
Lakeland, FL 33813-2523

Phone

(863) 401-4401

Fax

(866) 824-2717

NPI assigned

May 11, 2017

Last updated

Aug 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Henne, M.D.NPI 1487091393

Title

President

Phone

(863) 401-4401

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Michelle Henne, M.D., P.a.

  • Sports Medicine (Family Medicine) Physician
  • Lakeland, FL
  • NPI 1225564073

  O20170818002035

  Same enrollment

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Henne, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Winter Haven, FL
  • NPI 1487091393
  Medicare reassignment Care Compare group NPD Authorized official
• Saundra Holseth, DO

  • Sports Medicine (Family Medicine) Physician
  • Lakeland, FL
  • NPI 1043601842
  Medicare reassignment Care Compare group NPD
• Olivia Grace Anne Caldwell, ATC

  • Athletic Trainer
  • Winter Haven, FL
  • NPI 1780123877
  NPD (past)
• Sarah Elizabeth Decker, D.O.

  • Family Medicine Physician
  • Findlay, OH
  • NPI 1588028344

  Sports Medicine

  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1962938894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803051",
            "telephone_number": "863-401-4401",
            "fax_number": "866-824-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132523",
            "telephone_number": "863-401-4401",
            "fax_number": "866-824-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 E Central Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803051",
            "country_code": "US",
            "telephone_number": "863-401-4401",
            "fax_number": "866-824-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHELLE HENNE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "HENNE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-401-4401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME121120",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Trabulsy
• Mikayla Michaels, LCSW
• Andrew Joseph Michalsky, M.D.
• Adeline Michel, LMHC
• Michelle Henne, M.D., P.a.
• Micro Path Laboratories Inc
• Cynthia Middleton
• Kara Elizabeth Mierzejewski, PT, DPT
• Natalia Marie Mikanowicz, FNP
• Gina Marie Mikolawski-Aguinaga, LCSW

• Sports Medicine (Family Medicine) Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.