Kelly Anye Miyang

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN1049566 Issued in DC

Practice address

1818 New York Ave NE Ste 110
Washington, DC 20002-1849

Phone

(202) 489-0615

Fax

(202) 379-9220

NPI assigned

May 11, 2012

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

State licenses

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.

• Kellys Support Services of Maryland

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Upper Marlboro, MD
  • NPI 1871214510
  NPD Authorized official

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1104185149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE STE M1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207004",
            "telephone_number": "202-610-9560",
            "fax_number": "202-610-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE STE 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021849",
            "telephone_number": "202-489-0615",
            "fax_number": "202-379-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYANG",
        "first_name": "KELLY",
        "middle_name": "ANYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1049566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renae Nicole Mittelmeier, LPC, NCC
• David Mittermaier, M.A., B.C.B.A
• Blanch Billie Mitzner, NCC, CACI
• Debbie M Mixon-Cooper
• Brenda A Miyai, REGISTERED NURSE
• Lauren Miyares, MD
• Agwe Achu Miyeh
• Marisa Mize, CPNP,CPNP-AC
• Tony Carlos Mize
• Raphael Mordecai Mizrahi, PA

• Registered Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.