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Deactivated NPI 1942749700 Deactivated / Inactive NPI Female Practitioner

Judith Michel-Jackson

Contractor • Orlando, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Judith Michel-Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 13, 2017
NPI Deactivation Date May 23, 2018
Total Practice Duration ~1 Years of Practice (2017 – 2018)

Professional Overview & Biography Verified Profile Summary

Judith Michel-Jackson was a registered Contractor practicing in Orlando, FL. Throughout an active medical career spanning 1 years, Judith Michel-Jackson provided care at the practice location at 5645 PINEY RIDGE DR until profile deactivation on 2018-05-23.

Practice Location & Contact Primary Location

Practice Address

5645 Piney Ridge Dr

Orlando, FL 328084874

Telephone 4072671525
Associated Practice Facility / Clinic
🏢 J Michel Llc Facility NPI 1578055620

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
39 Specialists

Practicing in Orlando, FL (793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated May 23, 2018

Record deactivated on May 23, 2018

NPI Profile Active December 05, 2017

NPI status registered as active in NPPES database

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Updated Business Mailing Address December 05, 2017

Registered at PO BOX 681813, ORLANDO, FL 328681813 (Tel: 4075805036)

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Updated Practice Location December 05, 2017

Registered at 5645 PINEY RIDGE DR, ORLANDO, FL 328084874 (Tel: 4072671525)

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Provider Name / Credentials Updated December 05, 2017

Recorded as JUDITH MICHEL-JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Contractor

NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 13, 2017

Registered at 5645 PINEY RIDGE DR, ORLANDO, FL 328084874 (Tel: 4072671525)

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Updated Business Mailing Address February 13, 2017

Registered at 2826 SILKWOOD CIR APT 112, ORLANDO, FL 328183366 (Tel: 4072671525)

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Provider Name / Credentials Updated February 13, 2017

Recorded as JUDITH MICHEL-JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Contractor

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Initial NPI Registration & Enumeration February 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942749700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2017
Last Update: February 13, 2017
Deactivation Date: May 23, 2018

Mailing Address

2826 Silkwood Cir Apt 112

Orlando, FL 328183366

Phone: 4072671525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.