Active NPI
Mia K Iacona, APRN-CNP
- Family Nurse Practitioner
- North Canton, OH
National Provider Identifier
1922845809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0036483
- Practice address
- 7171 Keck Park Cir NW
North Canton, OH 44720-6301 - Phone
- (800) 485-3793
- NPI assigned
- Jul 9, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.464851 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0036483 | OH | Primary |
Addresses
Primary practice location
7171 Keck Park Cir NW
North Canton, OH 44720-6301
Mailing address
7171 Keck Park Cir NW
North Canton, OH 44720-6301
Phone (800) 485-3793
Other names 1
- Miss Mia K Nujic
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.464851 | OH | MD | Registered Nurse |
| APRN.CNP.0036483 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1922845809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7171 KECK PARK CIR NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447206301",
"telephone_number": "800-485-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 KECK PARK CIR NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447206301",
"telephone_number": "800-485-3793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACONA",
"first_name": "MIA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-09",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.464851",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0036483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIA",
"last_name": "NUJIC",
"middle_name": "K",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.