Active NPI
Courtney Mikulichek, BC-HIS
- Hearing Instrument Specialist
- Apple Valley, MN
National Provider Identifier
1609239300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2756
- Practice address
- 14940 Florence TRL
Apple Valley, MN 55124-4628 - Phone
- (612) 355-3918
- NPI assigned
- Mar 30, 2016
- Last updated
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2756 | MN | Primary |
Addresses
Primary practice location
14940 Florence TRL
Apple Valley, MN 55124-4628
Mailing address
3385 Roy Orr Blvd
Suite a
Grand Prairie, TX 75050-4208
Phone (469) 586-0437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2756 | MN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1609239300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3385 ROY ORR BLVD",
"address_2": "SUITE A",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750504208",
"telephone_number": "469-586-0437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14940 FLORENCE TRL",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551244628",
"telephone_number": "612-355-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKULICHEK",
"first_name": "COURTNEY",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.