CHERYL DIANE MIKESKA (NPI# 1295991958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295991958 |
| Entity Type | Individual |
| Full Name | CHERYL DIANE MIKESKA |
| Credential | MA |
| Practice Address |
2813 Apple Creek Cir Bryan TX 77802-2904 |
| Mailing Address |
2402 Broadmoor Dr Ste A102 Bryan TX 77802-2800 |
| Practice Telephone | 9797745011 |
| Practice Fax Number | 9797745011 |
| Mailing Telephone | 9797745011 |
| Mailing Fax Number | 9797745011 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
12244 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1426462-01 | 05 |
| Street Address |
2813 APPLE CREEK CIR |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788664 | Zachary Guram | Counselor | 3503 Curtis St # A, Bryan, TX 77802-2209 | 2020-07-27 |
| 1366072860 | Jenna Robinson | Counselor | 3028 Embers Loop, Bryan, TX 77808-3200 | 2020-01-23 |
| 1235699851 | Marc Klekar | Counselor | 117 Royal St, Bryan, TX 77801-4432 | 2019-03-20 |
| 1134572910 | Cynthia Ann Gosnell | Counselor | 1716 Briarcrest Dr Ste 305, Bryan, TX 77802-2777 | 2016-07-18 |
| 1063804342 | Noel Neely | Counselor | 4444 Carter Creek Pkwy Ste 204, Bryan, TX 77802-4469 | 2015-02-24 |
| 1013309483 | Kristen Wellman Tubbs | Counselor | 1770 Fickey Rd, Bryan, TX 77808-8364 | 2015-02-23 |
| 1326455510 | Shelly Mae Johnson | Counselor | 113 S Beech St, Bryan, OH 43506-1602 | 2014-07-19 |
| 1053569160 | Tricia Deanne Booth | Counselor | 2402 Broadmoor, #102 A, Bryan, TX 77802 | 2008-09-03 |
| 1265609952 | Daffney Kendra Watson-couch | Counselor | 1820 Greenfield Plz, Bryan, TX 77802-3408 | 2008-05-12 |
| 1427198571 | Rabiah Lynn Shabazz-houston | Counselor | 1008 Ivory Ridge Dr, Bryan, TX 77803-1275 | 2007-02-07 |
| Find all providers in BRYAN | ||||
Please comment or provide details below to improve the information on CHERYL DIANE MIKESKA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.