MICHAEL A PICKERT (NPI# 1275090300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275090300 |
| Entity Type | Individual |
| Full Name | MICHAEL A PICKERT |
| Credential | FNP |
| Practice Address |
12701 Padgett Switch Rd Irvington AL 36544-4011 |
| Mailing Address |
P.o Box 769 Bayou La Batre AL 36509 |
| Practice Telephone | 2518242174 |
| Practice Fax Number | 2518243444 |
| Mailing Telephone | 2518242174 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-143378 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962899187 | Michael Pickert | Internal Medicine | 24 N Hillside Ave, Livingston, NJ 07039 | 2015-04-26 |
| Street Address |
12701 PADGETT SWITCH RD |
| City | IRVINGTON |
| State | AL |
| Zip Code | 36544-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396794426 | Bayou La Batre Area Health Development Board, Inc. | Clinic/Center | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2006-05-08 |
| 1396360103 | Melissa Sprinkle | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2020-06-08 |
| 1427671528 | Catherine Thompson | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544 | 2020-05-22 |
| 1235613456 | Traci Leavines | Registered Nurse | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2018-09-24 |
| 1972081818 | Lisa Weber | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2018-08-02 |
| 1558871046 | James Raymond Chinners | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2017-10-10 |
| 1003363201 | Shelley Charmaine Day | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2016-09-06 |
| 1821495920 | Kendra Marie Jones | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2014-12-04 |
| 1104222983 | Alefyah Taqui | Social Worker | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2014-11-06 |
| 1508274911 | Brittany Haberman | Counselor | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2014-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801937057 | Cheryl Berg Horn | Speech-Language Pathologist | 9780 Cornelius Rd., Irvington, AL 36544-0675 | 2007-02-09 |
| 1326384306 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-20 |
| 1730425547 | Portable Medical Diagnostics LLC | Physiological Laboratory | 9047 Home Ave, Irvington, AL 36544-2855 | 2012-12-26 |
| 1376894659 | South Mobile County Home Health Services Inc. | Case Management | 9161 Saint Elmo Cir S, Irvington, AL 36544-2921 | 2012-09-26 |
| 1740333236 | House of Philadelphia, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8571 Three Mile Rd, Irvington, AL 36544-3301 | 2007-01-19 |
| 1558683409 | South Alabama Leisure Rehabilitation Recreation Center Inc | Day Training, Developmentally Disabled Services | 8571 Three Mile Rd, Lot 4, Irvington, AL 36544-3301 | 2010-02-19 |
| 1902926884 | W.i.n.n.e.r.s., Inc | Substance Abuse Rehabilitation Facility | 8800 Three Mile Rd, Irvington, AL 36544-3334 | 2007-04-02 |
| 1952532566 | Wilsania L. Rodriguez Mendez | Internal Medicine | 12701 Padgett Switch Road, Medicine Dept., Irvington, AL 36544-4011 | 2009-07-30 |
| 1629304183 | Bayou Pharmacy LLC | Pharmacy | 12855 Padgett Switch Rd, Irvington, AL 36544-4015 | 2009-10-19 |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417371485 | Sara Mckinzie | Nurse Practitioner | 205 E Huron, Irvington, IL 62848-0190 | 2014-02-12 |
| 1265749444 | Marie-antoinette Chevrin | Nurse Practitioner | 144 Elmwood Ave, Irvington, NJ 07111-1354 | 2010-09-09 |
| 1396360103 | Melissa Sprinkle | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2020-06-08 |
| 1003363201 | Shelley Charmaine Day | Nurse Practitioner | 12701 Padgett Switch Rd, Irvington, AL 36544-4011 | 2016-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948368 | Starr Ellen Valerio | Nurse Practitioner | 115 Rachel Dr Nw, Huntsville, AL 35806 | 2020-10-02 |
| 1336756600 | Vivian Elizabeth Jackson | Nurse Practitioner | 1216 25th St N, Birmingham, AL 35234-3139 | 2020-09-30 |
| 1104430446 | Victory Health of Oneonta LLC | Nurse Practitioner | 28252 Al-75, Oneonta, AL 35121 | 2020-09-03 |
| 1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
| 1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
| 1447872320 | Irina Guerard | Nurse Practitioner | 8886 Lake View Dr, Fairhope, AL 36532-6939 | 2020-05-13 |
| 1528680915 | Pure Integrative Wellness and Hydration LLC | Nurse Practitioner | 2703 University Blvd E Ste B, Tuscaloosa, AL 35404-3226 | 2020-05-08 |
| 1811517402 | Lillian Teicher Branham | Nurse Practitioner | 382 Slaughter Rd, Madison, AL 35758-2008 | 2020-04-23 |
| 1265061006 | Margaret Kelly Mcclusky | Nurse Practitioner | 10147 Wildwood Ln, Cottondale, AL 35453-1117 | 2020-04-03 |
| 1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.