Active NPI
Mikka C Gates, RN
- Registered Nurse
- Canandaigua, NY
National Provider Identifier
1508138611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 757010
- Practice address
- 4573 Mayflower Dr
Canandaigua, NY 14424-9744 - Phone
- (585) 430-2515
- NPI assigned
- Feb 4, 2012
- Last updated
- Aug 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 757010 | NY | Primary |
Addresses
Primary practice location
4573 Mayflower Dr
Canandaigua, NY 14424-9744
Mailing address
14 Erie St N
Apt a
Macedon, NY 14502-8827
Phone (315) 879-2171
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
| License | State | Type | Specialty |
|---|---|---|---|
| 757010 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1508138611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ERIE ST N",
"address_2": "APT A",
"city": "MACEDON",
"state": "NY",
"postal_code": "145028827",
"telephone_number": "315-879-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4573 MAYFLOWER DR",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144249744",
"telephone_number": "585-430-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "MIKKA",
"middle_name": "C",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-04",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "757010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
- Autumn Marie Gallegos Greenwich, PH.D.
- Sabrina Gambino, MA
- Andrea Marie Garling, R.N. B.S.N.
- Nancy Garrison, MS RD
- Victoria Grace Gashlin, LCSW
- Martha Flye Plumer Gault, RN
- Jennifer Leigh Gebhard, NP
- Natalie Geisbuesch
- Gentle Dentistry of Lancaster, PLLC (Dental Care of Canandaigua)
- Anthony J Geraci Jr., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.