Recia Mickens-Lopez, APRN-CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

026471 Issued in OH

Practice address

717 S 30TH St
Heath, OH 43056-1294

Phone

(248) 470-3247

NPI assigned

Sep 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1457967002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 OAK HILL DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813420",
            "telephone_number": "248-470-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561294",
            "telephone_number": "248-470-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKENS-LOPEZ",
        "first_name": "RECIA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "026471",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "026471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda S McGaughy, CRNP
• Jessica McGill, PA-C
• Rose Marie McKenzie, LPN
• Theresa Ann McNeil, RN
• Samir Merchant, D.D.S.
• Alissa Elizabeth Miller
• Cindy Miller
• Marjorie Ann Miller, PHARMD
• Megan Miller, DO
• Taylor Miller, D.D.S.

• Gerontology Nurse Practitioner in Heath, OH
• Providers in Heath, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.