Active NPI
Mickel Dana Denham, LVN
- Licensed Practical Nurse
- Yuba City, CA
National Provider Identifier
1306024484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- VN 202508
- Practice address
- 1445 Veterans Memorial Cir
Yuba City, CA 95993-3011 - Phone
- (530) 822-7240
- NPI assigned
- Jan 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | VN 202508 | CA | Primary |
Addresses
Primary practice location
1445 Veterans Memorial Cir
Yuba City, CA 95993-3011
Mailing address
1445 Veterans Memorial Cir
Yuba City, CA 95993-3011
Phone (530) 822-7215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN 202508 | CA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1306024484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 VETERANS MEMORIAL CIR",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959933011",
"telephone_number": "530-822-7215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 VETERANS MEMORIAL CIR",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959933011",
"telephone_number": "530-822-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENHAM",
"first_name": "MICKEL",
"middle_name": "DANA",
"name_prefix": "Mr.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CA",
"license": "VN 202508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.