MRS. LUCY RENA' MIKELL (NPI# 1710463856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710463856 |
| Entity Type | Individual |
| Full Name | MRS. LUCY RENA' MIKELL |
| Other Name | MRS. LUCY RENA' SIMMONS |
| Credential | MSN, FNP-C |
| Practice Address |
804 Robb Street Summit MS 39666 |
| Practice Telephone | 6012767665 |
| Practice Fax Number | 6012767556 |
| Mailing Telephone | 6012767665 |
| Mailing Fax Number | 6012767556 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP10101 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 902573 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08520383 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15744 Medical Arts Plaza, Hammond, LA 70403 | 9853454484 | 9853450782 |
| Street Address |
804 ROBB STREET |
| City | SUMMIT |
| State | MS |
| Zip Code | 39666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1871073908 | Southwest Pharmacy, Inc. | Pharmacy | 1121 Hwy 98 and 51, Summit, MS 39666 | 2018-08-17 |
| 1720586332 | Summit Express Pharmacy LLC | Pharmacy | 105 S Laurel St # 1310, Summit, MS 39666 | 2018-01-29 |
| 1356891667 | Brad Fortinberry | Physical Therapist | 709 Robb Street, Summit, MS 39666 | 2016-10-11 |
| 1124432679 | Tara Lynn Felder | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2014-06-12 |
| 1295166056 | Thomas Chadwick Cochran | Dietitian, Registered | 1011 Meadville Street, Summit, MS 39666 | 2013-12-04 |
| 1912281999 | Lauren Wolfarth | Occupational Therapy Assistant | 4109 Highway 98 West, Summit, MS 39666 | 2011-10-07 |
| 1902196777 | Salena J Steade | Nurse Practitioner | 7900 Hwy 570, Summit, MS 39666 | 2011-04-14 |
| 1376853531 | Rose Cancer Center | Internal Medicine | 807 Rob Street, Summit, MS 39666 | 2010-10-20 |
| 1952635120 | Shamona P Miller | Speech-Language Pathologist | 2085 Robb St. W Ext., Summit, MS 39666 | 2009-09-21 |
| Find all providers in zip 39666 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952339699 | Jacqueline Moore Akert | Nurse Practitioner | 36500 Aurora Drive, 4th Floor, Summit, WI 53066 | 2006-06-29 |
| 1871537332 | Janice Gunn | Nurse Practitioner | 4109 Hwy 98 West, Summit, MS 39666 | 2006-06-15 |
| 1407834732 | Susan L Duncan | Nurse Practitioner | 7900 Ms-570, Summit, MS 39666 | 2006-01-06 |
| 1679579452 | Michelle Brenner | Nurse Practitioner | 140 Mountain Ave, Summit, NJ 07901-3424 | 2005-06-24 |
| 1265076087 | Jessica M Zuerner | Nurse Practitioner | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-11-05 |
| 1740835073 | Kristal D Timm | Nurse Practitioner | 36500 Aurora Dr, Summit, WI 53066-4899 | 2019-08-05 |
| 1255800876 | Katelyn R Scannell | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2018-11-14 |
| 1992283386 | Amanda N Stelzel | Nurse Practitioner | 36500 Aurora Dr, Summit, WI 53066 | 2018-07-30 |
| 1568986537 | Kimberly J Roeloffs | Nurse Practitioner | 36500 Aurora Dr, Summit, WI 53066 | 2017-08-01 |
| 1629518238 | Suzanne Major | Nurse Practitioner | 36500 Aurora Dr, Summit, WI 53066-4899 | 2017-03-01 |
| Find all providers in SUMMIT | ||||
Please comment or provide details below to improve the information on MRS. LUCY RENA' MIKELL.
| 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.