Miketa Combs, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

316423 Issued in NY

Practice address

205 Lamson St # 1
Syracuse, NY 13206-2326

Phone

(315) 317-3917

NPI assigned

Dec 12, 2013

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": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1750712071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LAMSON ST # 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062326",
            "telephone_number": "315-317-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LAMSON ST # 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062326",
            "telephone_number": "315-317-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "MIKETA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Francis Colosimo
• Wendy Sue Colt
• Cheryl Colton, NP
• Shannon Colvin, NP
• Lindsay Colway
• Elizabeth Kristin Cominsky, NP
• Kristen Evelyn Cominsky
• Melanie A Comito, MD
• Gabriella Commesso, OTR/L
• Community Ecg Echo Group

• Licensed Practical Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.