Active NPI
Mirishka Elizabeth Gill
- Doula
- Mesa, AZ
National Provider Identifier
1366072266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 139 N 85TH PL
Mesa, AZ 85207-8669 - Phone
- (480) 587-0091
- NPI assigned
- Jan 19, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | AZ | ||
| Doula | 374J00000X | AZ | Primary | |
| Health Educator | 174H00000X | AZ |
Addresses
Primary practice location
139 N 85TH PL
Mesa, AZ 85207-8669
Mailing address
139 N 85TH PL
Mesa, AZ 85207-8669
Phone (480) 587-0091
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": "1579392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1366072266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 N 85TH PL",
"city": "MESA",
"state": "AZ",
"postal_code": "852078669",
"telephone_number": "480-587-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 N 85TH PL",
"city": "MESA",
"state": "AZ",
"postal_code": "852078669",
"telephone_number": "480-587-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "MIRISHKA",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-19",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": "AZ",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.