Charlotte Mikan

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

30211677 Issued in FL

Practice address

4651 Salisbury Rd
Suite 449
Jacksonville, FL 32256-6107

Phone

(904) 418-7900

Fax

(904) 418-7901

NPI assigned

Nov 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Tania Daughtry Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Senior Advocates of Florida, Inc.

  • In Home Supportive Care Agency
  • Jacksonville, FL
  • NPI 1053012534
  NPD Authorized official
• Professional Senior Advocates of Florida, Inc.

  • In Home Supportive Care Agency
  • Gainesville, FL
  • NPI 1295299014
  NPD Authorized official
• River City Professional Services, Inc.

  • In Home Supportive Care Agency
  • Jacksonville, FL
  • NPI 1871940791
  NPD Authorized official

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1922437433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 SALISBURY RD",
            "address_2": "SUITE 449",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566107",
            "telephone_number": "904-418-7900",
            "fax_number": "904-418-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SALISBURY RD",
            "address_2": "SUITE 449",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566107",
            "telephone_number": "904-418-7900",
            "fax_number": "904-418-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKAN",
        "first_name": "CHARLOTTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "30211677",
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "30211677",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "30211677",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "30211677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "DAUGHTRY",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dennis P Mihale, MD
• Mark Mihaly, AP
• Jennifer Miiller, PA
• Kyle Mikals, M.D.
• Samantha Jeannette Mikals, M.D.
• Raymond J Mikelionis, M.D.
• Angelica Mikell
• Lee Mikell, LMHC
• Tamra Coffee Mikell
• Inas Fouad Soliman Mikhail, MD

• Nurse's Aide in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.