Active NPI
Mikyung Mikeal
- Mastectomy Fitter
- Stafford, VA
National Provider Identifier
1326338955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- Practice address
- 2170 Harpoon Dr
Stafford, VA 22554-2330 - Phone
- (540) 720-7688
- NPI assigned
- Apr 16, 2011
- Last updated
- Apr 16, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | Primary |
Addresses
Primary practice location
2170 Harpoon Dr
Stafford, VA 22554-2330
Mailing address
2170 Harpoon Dr
Stafford, VA 22554-2330
Phone (540) 720-7688
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302912000000",
"number": "1326338955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 HARPOON DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225542330",
"telephone_number": "540-720-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 HARPOON DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225542330",
"telephone_number": "540-720-7688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKEAL",
"first_name": "MIKYUNG",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-16",
"last_updated": "2011-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.