Active NPI
Judith Marie Josephine Mikel, RN
- Registered Nurse
- Jamaica Plain, MA
National Provider Identifier
1831771211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2277704
- Practice address
- 170 Morton St
Jamaica Plain, MA 02130-3735 - Phone
- (617) 541-3670
- NPI assigned
- Apr 25, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2277704 | MA | Primary |
Addresses
Primary practice location
170 Morton St
Jamaica Plain, MA 02130-3735
Mailing address
75 Annafran St
Roslindale, MA 02131-4706
Phone (617) 833-7352
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2277704 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619308800000",
"number": "1831771211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 ANNAFRAN ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021314706",
"telephone_number": "617-833-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MORTON ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303735",
"telephone_number": "617-541-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKEL",
"first_name": "JUDITH",
"middle_name": "MARIE JOSEPHINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-25",
"last_updated": "2021-04-25",
"certification_date": "2021-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2277704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.