Drew Allen Mikel

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

28694 Coulter St
Edwardsburg, MI 49112-9639

Phone

(574) 350-9396

Fax

(574) 350-9396

NPI assigned

Oct 9, 2017

Sex

Male

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

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1548770274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28694 COULTER ST",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491129639",
            "telephone_number": "574-350-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28694 COULTER ST",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491129639",
            "telephone_number": "574-350-9396",
            "fax_number": "574-350-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKEL",
        "first_name": "DREW",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Kendall, CPT
• Amy Kniffin
• Jennifer Lynn Lambart, O.D.
• LG'S Whispering Pines
• Lindsey Danielle Lira, M.D.
• Britney J Monaco
• Daniela Arlette Moreno, CCC-SLP
• Alexander Moskalow
• Ontwa Jefferson Mason Milton Calvin Tnshps & Village of Edwardsburg
• Regional Home Care of Michigan Inc

• Student in an Organized Health Care Education/Training Program in Edwardsburg, MI
• Providers in Edwardsburg, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.