Mikkala Shae Vosmera, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0995575-NP Issued in CO

Practice address

8300 W 38TH Ave
Wheat Ridge, CO 80033-6005

Phone

(303) 517-4593

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1770193112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-517-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSMERA",
        "first_name": "MIKKALA",
        "middle_name": "SHAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0995575-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mikkala.vosmera@sclhealth.org",
            "affiliation": "Y",
            "endpointDescription": "Hospital email",
            "affiliationName": "Lutheran Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8300 W 38th Ave",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800336005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mari Sara Volkmar, PA
• Lynn Marie Vollero
• Kourtney Vollert, LPC
• Lisel Marie Von Duyke
• Elana Voronov, ED.M
• Michelle Lynn Vrooman, LCSW
• Dennis L. Wack, PH.D.
• Allyssa Marie Wagenknecht
• Traci Wager, MSW, LSW
• Rebecca Waggoner

• Nurse Practitioner in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.