Jeanine M Mizikar, MACCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010486 Issued in PA

Practice address

310 Wayne Street
Beaver, PA 15009-2252

Phone

(724) 774-2677

NPI assigned

Aug 4, 2011

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hap Enterprises Inc

  • Early Intervention Provider Agency
  • Beaver, PA
  • NPI 1407013667
  NPD (past)

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1619256948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ANTHONY WAYNE DRIVE",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150052105",
            "telephone_number": "724-875-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WAYNE STREET",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092252",
            "telephone_number": "724-774-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZIKAR",
        "first_name": "JEANINE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "MACCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Miller, CRNA
• Jung T Min, M.D.
• Tae Cheol Min, M.D.
• Elizabeth Mitch
• Sanja Mitkovska, MD
• Karen M Mohr, CRNA
• Theodore J Molnar, MD
• Peter Joseph Montini, DMD
• Margaret Moreland
• Christopher M Morgan, D.O.

• Speech-Language Pathologist in Beaver, PA
• Providers in Beaver, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.