Mikayla May Vergo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

13612 W 12TH Ave
Airway Heights, WA 99001-9436

Phone

(509) 499-7345

NPI assigned

Sep 17, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1497239479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13612 W 12TH AVE",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13612 W 12TH AVE",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019436",
            "telephone_number": "509-499-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGO",
        "first_name": "MIKAYLA",
        "middle_name": "MAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina V Shustov, LMT
• Angela Silva, CDP
• Kimberly A Smith, LPN
• Loretta Marie Stricker, CMA, CNA,
• Leslie Dawn Susso
• Villain Esteem
• Matthew Vinson, DPT
• Wal-Mart Stores, Inc.
• Devin Walker, LPN
• Lynn Hee Rin Walker, LPN

• Addiction (Substance Use Disorder) Counselor in Airway Heights, WA
• Providers in Airway Heights, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.