Active NPI
Gabrielle Helen Mikula, APRN
- Family Nurse Practitioner
- Burlington, VT
National Provider Identifier
1649274903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 101-0016217
- Practice address
- 111 Colchester Ave.
Burlington, VT 05401 - Phone
- (802) 847-8300
- Fax
- (802) 847-1523
- NPI assigned
- Jun 2, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 101-0016217 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave.
Burlington, VT 05401
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-4531
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7950468 | Other | VT | CIGNA |
| 28925 | Other | VT | BC/BS |
| ONP0890 | Medicaid | VT | |
| 12V001 | Other | VT | MVP INSURANCE NUMBER |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0016217 | VT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1649274903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-4531",
"fax_number": "802-847-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE.",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-847-8300",
"fax_number": "802-847-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKULA",
"first_name": "GABRIELLE",
"middle_name": "HELEN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-02",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "101-0016217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7950468",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "28925",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ONP0890",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP INSURANCE NUMBER",
"identifier": "12V001",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.