Jason Daniel Mikles, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN202597 Issued in TN

Practice address

1107 N Charles G Seivers Blvd Ste 101
Clinton, TN 37716-3944

Phone

(865) 934-6150

Fax

(865) 342-0150

NPI assigned

Sep 27, 2017

Last updated

Sep 27, 2017By the provider in NPPES

Sex

Male

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

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cherokee Health Systems

  dba River Valley Health

  • Federally Qualified Health Center (FQHC)
  • Clinton, TN
  • NPI 1174934749
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1134638620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 W ANDREW JOHNSON HWY DEPT 100",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778605",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N CHARLES G SEIVERS BLVD STE 101",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163944",
            "telephone_number": "865-934-6150",
            "fax_number": "865-342-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLES",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN202597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meadow View Senior Living
• Crystal Michelle Mealer, OT
• Alma Meraz
• Krea Merritt, PTA, CCI
• Matthew A Meyers, AANP
• Sandra Ella Humphrey Mincey, FNP-BC
• Kelli Denise Minga, OTA
• Casey R Moles
• Casey J Montague, H.I.S.
• Bailey A Moore, COTA

• Registered Nurse in Clinton, TN
• Providers in Clinton, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.