Mariah Lynn Mikulas, COTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

271089 Issued in CO

Practice address

2724 Franklin Ave
Pueblo, CO 81003-1330

Phone

(719) 469-4170

NPI assigned

Apr 11, 2011

Last updated

Apr 11, 2011By 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 1

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1588954598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 FRANKLIN AVENUE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-469-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 FRANKLIN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031330",
            "telephone_number": "719-469-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULAS",
        "first_name": "MARIAH",
        "middle_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "271089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R. Middleton, M.D.
• Elizabeth A Miera, LCSW
• Eric Migoya, DO
• Olivia Mikaelian
• Monica Miketa, LPC
• Judy Miles, LPC
• Ta'Mara Miles
• Milestone Psychiatry Inc. (Milestone Psychiatry Pueblo)
• Sarah Millard
• John David Millea

• Skilled Nursing Facility in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.