Kitty Mishak, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

73448 Issued in NC

Practice address

1504 Jake Alexander Blvd W
Salisbury, NC 28147-1213

Phone

(704) 645-8539

NPI assigned

Jul 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Treatment Centers LLC

  • Community/Behavioral Health Agency
  • Salisbury, NC
  • NPI 1427854991
  NPD
• Treatment Centers LLC

  • Community/Behavioral Health Agency
  • Lexington, NC
  • NPI 1639592900
  NPD (past)

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1376224733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 JAKE ALEXANDER BLVD W",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471213",
            "telephone_number": "704-645-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 JAKE ALEXANDER BLVD W",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471213",
            "telephone_number": "704-645-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHAK",
        "first_name": "KITTY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "73448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kenneth Mills, MD
• Charles Minlend
• Pam Minter, COTA/L
• Alley Minton, PHARMD
• Angelina Elizabeth Misenheimer
• Holly M Miskey, PHD
• Frances Lee Misner, MPT
• Gavin Isaac Misner, M.D.
• Carrie Elizabeth Mitchell, PHARMD
• Gabrielle Lynise Mitchell, LCSW

• Licensed Practical Nurse in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.