Amanda Lynne Mickavicz Sickora

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

8155 Jefferson Hwy Apt 1104
Baton Rouge, LA 70809-1618

Phone

(682) 970-7101

NPI assigned

Feb 26, 2025

Last updated

Feb 26, 2025By the provider in NPPES

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

Other names 1

• Amanda Lynne Mickavicz Former name

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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1285431361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 JEFFERSON HWY APT 1104",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091618",
            "telephone_number": "682-970-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 JEFFERSON HWY APT 1104",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091618",
            "telephone_number": "682-970-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKAVICZ SICKORA",
        "first_name": "AMANDA",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MICKAVICZ",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• David Fichter Mickey, MD
• Vanessa Lynette Mickles, PHARMD
• Mid City Specialty Center, LLC
• Mid-City Pharmacy

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.