Individual provider Active NPI

Emma Louise McMicken, ARNP

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1992053144
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 3178492 Issued in FL
Practice address
118 Allamanda Dr
Lakeland, FL 33803-2926
Phone
(863) 644-2204
NPI assigned
Aug 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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 ARNP 3178492 FL Primary

Addresses

Primary practice location

118 Allamanda Dr
Lakeland, FL 33803-2926

Mailing address

118 Allamanda Dr
Lakeland, FL 33803-2926
Phone (863) 644-2204

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 3178492FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sergio B Seoane MD PA Past Accepting new patients
Sergio B. Seoane, M.D.,P.a. Past Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Organizations & group practices 3

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": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1992053144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ALLAMANDA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032926",
            "telephone_number": "863-644-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ALLAMANDA DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032926",
            "telephone_number": "863-644-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICKEN",
        "first_name": "EMMA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 3178492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.