Individual provider Active NPI

Judy Ann Mikesell, R.N.

  • Administrator Registered Nurse
  • Yuba City, CA
National Provider Identifier
1447437603
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN357297 Issued in CA
Practice address
1445 Veterans Memorial Cir
Yuba City, CA 95993-3011
Phone
(530) 822-7215
Fax
(530) 822-7223
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN357297 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN357297CAMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1447437603",
    "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",
            "fax_number": "530-822-7223"
        },
        {
            "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": "530-822-7215",
            "fax_number": "530-822-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKESELL",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "RN357297",
            "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 Jan 29, 2008; 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.