Mikyle Shakira Byrd-Vaughn, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

00306 Issued in CT

Practice address

399 Hoover Ave
Suite 9
Bloomfield, NJ 07003-3924

Phone

(973) 429-7878

Fax

(973) 429-7887

NPI assigned

Jul 30, 2009

Last updated

Jul 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1508097122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 HOOVER AVE",
            "address_2": "SUITE 9",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033924",
            "telephone_number": "973-429-7878",
            "fax_number": "973-429-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 HOOVER AVE",
            "address_2": "SUITE 9",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033924",
            "telephone_number": "973-429-7878",
            "fax_number": "973-429-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD-VAUGHN",
        "first_name": "MIKYLE",
        "middle_name": "SHAKIRA",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "00306",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "0990000175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Marie Buczynski, PA-C
• Mariel Buque, PH.D.
• Walter Robert Burbella, P.T.
• Burgess Pharmacy, Inc (Burgess Chemist)
• Nathanael Valine Burrell, DPT
• Basilio Mario Reyes Cabilao, PT
• Jennifer Luisa Cabral
• Elvie Cadet-Gordon, LMSW
• Harry Cagin, RPH
• Mabel Calderon Duarte Sr., MEDICAL ASSISTANT

• Naturopath in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Naturopath in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.