Hannah Lyn Midlock

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2001 Alford Park Dr
Kenosha, WI 53140-1994

Phone

(262) 551-6104

NPI assigned

Mar 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1699309534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 HUMMINGBIRD CIR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604314011",
            "telephone_number": "815-641-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ALFORD PARK DR",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401994",
            "telephone_number": "262-551-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDLOCK",
        "first_name": "HANNAH",
        "middle_name": "LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarice Joy Michalski, DDS
• Michelle Fox, R.D.H.,S.C.
• Carla Michels
• Carol Margaret Michels, OTR
• Rachael Midday, DPT, CKTP
• Midway Clinical Neuropsychologic Institute and Children'S Wellness Fou
• Midway Manor Corp.
• Midwest Alignment Center,LLC
• Midwest Center for Women'S Health
• Midwest Center for Womens Health S.C.

• Student in an Organized Health Care Education/Training Program in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Student in an Organized Health Care Education/Training Program in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.