Active NPI
Mikaela Angela Mejia Sim, RN
- Critical Care Medicine Registered Nurse
- Kearney, NE
National Provider Identifier
1013687441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 93297
- Practice address
- 10 E 31St St
Kearney, NE 68847-2908 - Phone
- (308) 865-7100
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 93297 | NE | Primary |
Addresses
Primary practice location
10 E 31St St
Kearney, NE 68847-2908
Mailing address
2121 W 39TH St Apt 17
Kearney, NE 68845-1241
Phone (308) 270-9388
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93297 | NE | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1013687441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 W 39TH ST APT 17",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688451241",
"telephone_number": "308-270-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E 31ST ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472908",
"telephone_number": "308-865-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIM",
"first_name": "MIKAELA ANGELA",
"middle_name": "MEJIA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NE",
"license": "93297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.