Nyssa Rosina Midden

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

293808 Issued in CA

Practice address

14855 Olympic Dr
Clearlake, CA 95422-9522

Phone

(707) 995-4888

NPI assigned

Jun 20, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nyssa.midden.p27@direct.medcor.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flowstate Physiotherapy PLLC

  • Physical Therapy Clinic/Center
  • Cambridge, MA
  • NPI 1962115956
  NPD Authorized official

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1306330600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3493 SPRINGER RIDGE RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629027703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 OLYMPIC DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229522",
            "telephone_number": "707-995-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDEN",
        "first_name": "NYSSA",
        "middle_name": "ROSINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-13014",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62358",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "5066",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211199",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60847038",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M McNally, LCSW
• Medical Specialists Associates PC
• Katarina Maria Meyer
• Jeffrey W Meyers, PA-C
• Michael D. Shepherd M.D. Inc.
• Leshele Mielke
• Kayla Lynn Miller
• Sandra Janeane Miller
• Makayla Aillene Moglie
• Jorge Morales

• Physical Therapist in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.