Mikyong Mobilia, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN203346 Issued in MA

Practice address

851 Middle St Ste 1100
Fall River, MA 02721-1779

Phone

(401) 345-8676

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1740980184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST STE 1100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211779",
            "telephone_number": "401-345-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MIDDLE ST STE 1100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211779",
            "telephone_number": "401-345-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBILIA",
        "first_name": "MIKYONG",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN203346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chryssa Marie Mitchell
• Grace M. Mitchell
• John R Mitchell, LICSW
• Susan Anne Mitchell, LICSW
• Jessica Mkpanam, MSW
• Modern Dermatology of Massachusetts, PLLC
• Elisabeth Karen Modestino, LICSW
• Elizabeth Modiclan
• Carla Moe, LICSW
• Patricia Moisan

• Pediatric Nurse Practitioner in Fall River, MA
• Providers in Fall River, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.