Mya Wilery

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

1470 Industrial Dr NW
Rochester, MN 55901-0700

Phone

(507) 923-7467

NPI assigned

Sep 13, 2021

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)

Not enrolled

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1942979968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 6TH CT SE",
            "city": "DOVER",
            "state": "MN",
            "postal_code": "559295003",
            "telephone_number": "507-923-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 INDUSTRIAL DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010700",
            "telephone_number": "507-923-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILERY",
        "first_name": "MYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mycjones01@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Caravel Autism Health, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1470 Industrial Dr NW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559010700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Malinda Marie Wilcox
• Skylynn M Wilcox
• Darcy Rae Wilde, CRNA
• Kim Kathleen Wildeman
• Robert T Wilder, M.D.
• Kristiane Wiley, CNS,MS,APNP
• Robert P Wilfahrt, MD
• Megan Marie Wilgenbusch, LADC
• Matthew Wilham, M.D.
• Mark P Wilhelm, M.D.

• Other Technician in Rochester, MN
• Providers in Rochester, MN by specialty
• Other Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.