Whitney Michelle Mikkelsen, B.S.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2620 Commercial Way
Suite 120
Rock Springs, WY 82901-4671

Phone

(307) 922-8543

NPI assigned

Jun 17, 2014

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)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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

• QRC LLC

  • Case Management Agency
  • Rock Springs, WY
  • NPI 1669865598
  NPD (past)
• QRC, LLC

  • Developmentally Disabled Services Day Training Agency
  • Rock Springs, WY
  • NPI 1932586138
  NPD (past)

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1073927190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORSO ASSISI",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016886",
            "telephone_number": "307-389-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY",
            "address_2": "SUITE 120",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014671",
            "telephone_number": "307-922-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSEN",
        "first_name": "WHITNEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kathleen Merrill, PT, DPT
• Eric F Meyer, MD
• Charles Michael, PCSW
• Gordon Max Mickelson III
• Andrew J Mikesell, DC
• David Scott Milam
• Brooke Danielle Millemon, PHARM D.
• Ilona Miller, PT, DPT
• Karlee Rae Miller, PHARMD
• Samantha Miller

• Case Manager/Care Coordinator in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Case Manager/Care Coordinator in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.