Mikki Meadows-Oliver, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

001976 Issued in CT

Practice address

1450 Chapel St.
Saint Raphael Faculty Physicians
New Haven, CT 06511

Phone

(203) 789-4074

Fax

(203) 867-5534

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063516466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18263",
            "address_2": "SAINT RAPHAEL FACULTY PHYSICIANS",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066013263",
            "telephone_number": "508-595-0531",
            "fax_number": "508-829-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST.",
            "address_2": "SAINT RAPHAEL FACULTY PHYSICIANS",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-789-4074",
            "fax_number": "203-867-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS-OLIVER",
        "first_name": "MIKKI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "001976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalin McQuade
• Elizabeth Ann McVeety, APRN
• James C McVeety, MD
• Kathryn Anne McVicar, MD
• Nicolas Gabriel Meade, PSYD
• Borislav Meandzija, MD
• Adam Peter Mecca, M.D., PH.D.
• Marcia Cathleen Mecca, M.D.
• Christine Meche, CNM
• Rebekah C Medeiros, NP

• Pediatric Nurse Practitioner in New Haven, CT
• Providers in New Haven, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.