Individual provider Active NPI

Mikayla Leigh Gardzinski-Nixon

  • Registered Nurse
  • Sedro Woolley, WA
National Provider Identifier
1669327029
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
253677 Issued in AZ
Practice address
1420 State Route 20
Sedro Woolley, WA 98284-4322
Phone
(360) 854-7400
NPI assigned
Mar 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 253677 AZ Primary

Addresses

Primary practice location

1420 State Route 20
Sedro Woolley, WA 98284-4322

Mailing address

1701 E Maple St Apt 100
Bellingham, WA 98229-2850
Phone (480) 207-9983

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

LicenseStateTypeSpecialty
253677AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Mental Health Services of Washington, Inc. PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1669327029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E MAPLE ST APT 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292850",
            "telephone_number": "480-207-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 STATE ROUTE 20",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844322",
            "telephone_number": "360-854-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDZINSKI-NIXON",
        "first_name": "MIKAYLA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "253677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.