Cocquese Mikell, NURSE/LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN071036 Issued in GA

Practice address

843 Sweetwater Way
McDonough, GA 30253-3785

Phone

(678) 891-8014

NPI assigned

Mar 31, 2011

Sex

Female

Sole proprietor

Yes

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": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1124317052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 SWEETWATER WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533785",
            "telephone_number": "678-891-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 SWEETWATER WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533785",
            "telephone_number": "678-891-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELL",
        "first_name": "COCQUESE",
        "credential": "NURSE/LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN071036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH Wellness Collective LLC
• Mib Staffing, LLC
• Michael R. Johnston, D.C., P.C.
• Michelle Klos D.C. Inc.
• Dionne Gibson Middlebrooks, PT, DPT
• Milann Health Care Services Inc
• Andrea R Miles, M.D.
• Jerrica Miles, PA-C
• Milestone Behavioral Health Services LLC
• Denitra Miller, LCSW

• Licensed Practical Nurse in McDonough, GA
• Providers in McDonough, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.