Michaelyn Mick, LRT

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2205923 Issued in KS

Practice address

2265 S 9TH St
Salina, KS 67401-7308

Phone

(785) 452-6002

NPI assigned

Jun 2, 2020

Last updated

Jun 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1013531458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N STARK ST",
            "city": "BENNINGTON",
            "state": "KS",
            "postal_code": "674229429",
            "telephone_number": "785-416-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 S 9TH ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017308",
            "telephone_number": "785-452-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICK",
        "first_name": "MICHAELYN",
        "credential": "LRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "2205923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARRT",
            "identifier": "2205923",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mimick@srhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2265 S 9th St",
            "city": "Salina",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674017308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seth Metzler
• Jordanne Meyer, CPTA
• Amy Meysenburg, LMAC
• Debbie S. Michaels, NP
• Ashley Renee Michel, DDS
• Mid Kansas Disability Care,LLC
• Charlee Middleton
• Kellie Kristin Middleton, M.D., M.P.H.
• Midwest Neurology Consultants, LLC
• Mark T Mikinski, M.D.

• Diagnostic Radiology Physician in Salina, KS
• Providers in Salina, KS by specialty
• Diagnostic Radiology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.