Individual Healthcare Provider
Kimberly Marino-Micheel, DOM,LAC,AP,DIPL,RN
Provider's NPPES record last updated: November 22, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1124989686
- Primary Specialty
- Integrative Medicine
- Practice Location
- Englewood, Florida
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:41 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Integrative Medicine
Allopathic & Osteopathic Physicians
A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease - including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body's innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.
Taxonomy code 202D00000X
Provider-Reported License Information
- Integrative Medicine (Florida)
- L.AC4693
Practice Locations
Practice Location
630 N Indiana Ave
Englewood, Florida 34223-2728
Phone: (941) 812-0777
Record Information
- Enumeration Date
- November 22, 2025
- Provider's NPPES Record Last Updated
- November 22, 2025
- Certification Date
- November 22, 2025
- NPISignal NPPES Dataset
- August 2026
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