Michele C Mikovich, AGCNS-BC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

APRN.CNS.0019455 Issued in OH

Practice address

10701 East Blvd
Cleveland, OH 44106-1702

Phone

(216) 791-2300

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1982311213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 TUXFORD CT",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152177",
            "telephone_number": "330-559-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-791-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1285 Tuxford Ct",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445152177",
            "country_code": "US",
            "telephone_number": "330-559-6094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKOVICH",
        "first_name": "MICHELE",
        "middle_name": "C",
        "credential": "AGCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "APRN.CNS.0019455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melad Saber Moawad Mikhail, PA
• Vedrana Mikic, OD
• Himabindu Mikkilineni, M.D.
• Carey Rebecca Miklavcic, D.O.
• Stephanie A Miklich, MA, CCC/SLP
• Julie Marie Mikulas, PHARMD
• Jennifer A Mikuluk, RN, MSN, CNP
• Saimon Samy Samir Milad
• Alexis Brianna Milam, CNM
• Caitlyn Byrd Milam, CRNA

• Clinical Nurse Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Nurse Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.