Yvette Michelle Mike, REGISTERED NURSE

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

421972 Issued in NY

Practice address

107 Gaynor Ave
Syracuse, NY 13206-2024

Phone

(315) 414-7672

NPI assigned

Aug 30, 2013

Last updated

Aug 30, 2013By 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 3

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1295169894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GAYNOR AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062024",
            "telephone_number": "315-414-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GAYNOR AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062024",
            "telephone_number": "315-414-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKE",
        "first_name": "YVETTE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "NY",
            "license": "421972",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NY",
            "license": "421972",
            "primary": true
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "NY",
            "license": "421972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelia Mihai, M.D.
• Dragos L Mihaila, M.D.
• Katherine Mihill, MT-BC
• Serena Kauchelle Mike, LICENSED PRACTICAL N
• Vonnie M Mike, LPN
• Atef F. Mikhael, M.D.
• Christina Lyn Milback, PA
• Benjamin Abram Milczarski, M.D.
• Alyssa C Miles, PHYSICIAN ASSISTANT
• Jordan Miles

• Wound Care Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Wound Care Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.