Active NPI
Mae Miskimon, ARNP, RN
- Psychiatric/Mental Health Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1992974059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60180768
- Practice address
- 1800 112TH Ave NE
Suite 150-W
Bellevue, WA 98004-2993 - Phone
- (425) 646-7279
- NPI assigned
- Feb 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | RN00174332 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60180768 | WA | Primary |
Addresses
Primary practice location
1800 112TH Ave NE
Suite 150-W
Bellevue, WA 98004-2993
Mailing address
1800 112TH Ave NE
Suite 150-W
Bellevue, WA 98004-2993
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1992974059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 112TH AVE NE",
"address_2": "SUITE 150-W",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980042993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 112TH AVE NE",
"address_2": "SUITE 150-W",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980042993",
"telephone_number": "425-646-7279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISKIMON",
"first_name": "MAE",
"credential": "ARNP, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00174332",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60180768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.