Active NPI
Lena Margareta Mikulak, FNP
- Family Nurse Practitioner
- Chantilly, VA
National Provider Identifier
1710162029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167634
- Practice address
- 4229 Lafayette Center Dr
Suite 1000
Chantilly, VA 20151-1261 - Phone
- (703) 352-3344
- Fax
- (703) 796-1918
- NPI assigned
- Jan 4, 2008
- 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 | 0024167634 | VA | Primary |
Addresses
Primary practice location
4229 Lafayette Center Dr
Suite 1000
Chantilly, VA 20151-1261
Mailing address
4229 Lafayette Center Dr
Suite 1000
Chantilly, VA 20151-1261
Phone (703) 352-3344
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 |
|---|---|---|---|
| 0024167634 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1710162029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 LAFAYETTE CENTER DR",
"address_2": "SUITE 1000",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511261",
"telephone_number": "703-352-3344",
"fax_number": "703-796-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 LAFAYETTE CENTER DR",
"address_2": "SUITE 1000",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511261",
"telephone_number": "703-352-3344",
"fax_number": "703-796-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKULAK",
"first_name": "LENA",
"middle_name": "MARGARETA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-04",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.