MR. CHRISTIAN BERNARD MIKESELL (NPI# 1669982039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669982039 |
| Entity Type | Individual |
| Full Name | MR. CHRISTIAN BERNARD MIKESELL |
| Credential | AGPCNP-BC |
| Practice Address |
Duke Geriatrics: 40 Medicine Circle Clinic 1j Durham NC 27710-4907 |
| Mailing Address |
810 W Murray Ave Durham NC 27704-3034 |
| Practice Telephone | 9196204070 |
| Mailing Telephone | 2672592743 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5009947 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1329 S Clarion St, Philadelphia, PA 191474907 | 2672592743 |
| Street Address |
DUKE GERIATRICS: 40 MEDICINE CIRCLE CLINIC 1J |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922253475 | Amanda Winslow Yopp | Nurse Practitioner | 2400 Pratt St Ste 1100, Dumc 3961, Durham, NC 27710-0001 | 2008-11-25 |
| 1164580908 | Faviola Cagle | Nurse Practitioner | 301 Carver St, Durham, NC 27704-2707 | 2006-12-05 |
| 1518526409 | Christopher Lyon | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2019-06-13 |
| 1629421276 | Tammy Stancil | Nurse Practitioner | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2016-07-19 |
| 1942655071 | Penny Phlegar | Nurse Practitioner | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2016-04-26 |
| 1124482906 | Stephanie Renee Chancy | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2016-04-07 |
| 1578903316 | Christina Harrelson | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2013-06-25 |
| 1215117494 | Suzanne Lafayette Hixson | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2007-11-06 |
| 1558445007 | Cristina Cu Hendrix | Nurse Practitioner | 508 Fulton St, Grecc Durham Veterans Affairs Medical, Durham, NC 27705-3875 | 2006-10-24 |
| 1679668057 | Susan Fleming Kistler | Nurse Practitioner | 508 Fulton Street, Durham, NC 27705 | 2006-10-03 |
| Find all providers in DURHAM | ||||
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| 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.