Celeste Marie Mikulics, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

446338 Issued in CA

Practice address

5555 Grossmont Center Dr
Wound Healign Center
La Mesa, CA 91942-3019

Phone

(619) 720-4160

NPI assigned

Jan 30, 2007

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

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124165295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 AZALEA GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920257905",
            "telephone_number": "760-291-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "address_2": "WOUND HEALIGN CENTER",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-720-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULICS",
        "first_name": "CELESTE",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "446338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Jeffrey Michels, D.D.S
• Candace Middleton-Kidd
• Mihlon Psychotherapy Corp
• Suzanne Huxel Mihlon, PSY.D.
• Carter Mikesell, MD
• Nadia Milanesi, OTR/L
• Ashley Milburn
• Emma Milburn, IBCLC
• Cameron Tristan Miles, PTA
• David Miles, D.O.

• Nurse Practitioner in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Nurse Practitioner in California

• 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.