Heather Mikesell

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

13197 Issued in NC

Practice address

3132 Chesswood LN
Winterville, NC 28590-7992

Phone

(567) 242-9435

NPI assigned

Jul 19, 2021

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

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1124691043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POND ST",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048500",
            "telephone_number": "828-774-5222",
            "fax_number": "828-774-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 CHESSWOOD LN",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907992",
            "telephone_number": "567-242-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKESELL",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NC",
            "license": "13197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Michelle Medford, PHARMD
• Evan Christopher Medford, PHARMD
• Medical Park Pharmacy Greenville, Inc (Medical Park Pharmacy South)
• Raymond William Meyers
• Adam Henryk Michniak, AEMT
• Suparna Misra
• Niralee Atulkumar Modi, MS, RPH
• Kalyn Elizabeth Moeller
• Franklin Cordell Moore, MS, LPCA, NCC
• Janice Moore, MED, LCAS-P

• Gerontology Occupational Therapist in Winterville, NC
• Providers in Winterville, NC by specialty
• Gerontology Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.