DISA RUIZ MIKULA (NPI# 1831388214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831388214 |
| Entity Type | Individual |
| Full Name | DISA RUIZ MIKULA |
| Practice Address |
1 Baker Pl Student Services Keyser WV 26726-2824 |
| Practice Telephone | 3047884218 |
| Practice Fax Number | 3047886461 |
| Mailing Telephone | 3047884218 |
| Mailing Fax Number | 3047886461 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
1 BAKER PL STUDENT SERVICES |
| City | KEYSER |
| State | WV |
| Zip Code | 26726-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194914192 | Sharon E Clark | Registered Nurse | 1 Baker Pl, Keyser, WV 26726-2824 | 2007-10-16 |
| 1174032262 | Kristen Shores | Speech-Language Pathologist | 1 Baker Pl, Keyser, WV 26726-2824 | 2017-09-21 |
| 1699284778 | Chelsea Mcfarland | Speech-Language Pathologist | 1 Baker Pl, Keyser, WV 26726-2824 | 2017-09-21 |
| 1194998518 | Heather Wilson | Occupational Therapist | 1 Baker Pl, Keyser, WV 26726-2824 | 2008-04-07 |
| 1043483548 | Roberta Lynn Jones | Registered Nurse | 1 Baker Pl, Keyser, WV 26726-2824 | 2008-04-07 |
| 1952589277 | Jennifer Anne Cole | Registered Nurse | 1 Baker Pl, Keyser, WV 26726-2824 | 2008-02-08 |
| 1871782110 | Kelly Maruschak | Psychologist | 1 Baker Pl, Keyser, WV 26726-2824 | 2007-10-23 |
| 1205025251 | Nancy Marie Starcher | Registered Nurse | 1 Baker Pl, Keyser, WV 26726-2824 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199937 | Susan Raye Thorne | Technician | 193 Primrose Dr, Keyser, WV 26726 | 2020-09-22 |
| 1982215141 | Rachael Yvonne Lewis | Technician | 30 Csx Ln, Keyser, WV 26726 | 2020-08-12 |
| 1942847975 | Recovery Care LLC | Family Medicine | 37 Carroll Avenue, Keyser, WV 26726 | 2019-12-10 |
| 1346713633 | Ruby Ann Olitan | Pharmacist | Rr 3 3186, Keyser, WV 26726 | 2019-01-09 |
| 1164915526 | Keyser Family Dentistry, Pllc | Dentist | 1035 Florida Ave., Keyser, WV 26726 | 2018-06-11 |
| 1093223075 | Leslie Bosley | Speech-Language Pathologist | Mineral County Board of Education, One Baker, Keyser, WV 26726 | 2018-01-12 |
| 1043737927 | Melissa Sue Hines | Social Worker | 539 New Creek Highway, Keyser, WV 26726 | 2017-08-23 |
| 1962928242 | Walgreen Co | Pharmacy | 839 S Mineral St, Keyser, WV 26726 | 2017-08-17 |
| 1386980704 | Heritage Hearing Aid Centers, LLC | Hearing Aid Equipment | Route 3 Box 3288, Keyser, WV 26726 | 2012-12-13 |
| 1659685246 | Suratkal V Shenoy Md PC | Surgery | Rt 220 South and Staggs Lane, Keyser, WV 26726 | 2010-08-06 |
| Find all providers in zip 26726 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871782110 | Kelly Maruschak | Psychologist | 1 Baker Pl, Keyser, WV 26726-2824 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1124570957 | Katie Hamm | Psychologist | 50 Underwood Cir, Mount Zion, WV 26151-8556 | 2016-10-27 |
| 1669922092 | Jonathan Shank | Psychologist | 813 Capitol St, Spencer, WV 25276-1924 | 2016-10-10 |
| 1255881082 | Lisha Tignor | Psychologist | 98 Carter Braxton Dr, Sutton, WV 26601-9592 | 2016-10-05 |
| 1437606068 | Tiffany Yancey | Psychologist | 197 Chestnut Street, Greenbrier County Schools, Lewisburg, WV 24901 | 2016-09-01 |
| 1831645647 | Rachel Hendricks | Psychologist | 400 Old Main Drive, Nicholas County Schools, Summersville, WV 26651 | 2016-08-31 |
| 1811355597 | New Beginnings Therapy Services, LLC | Psychologist | 220 S Walker St Ste A, Princeton, WV 24740-2747 | 2016-02-09 |
| 1104291681 | Ashley Booten | Psychologist | 501 22nd St, Dunbar, WV 25064-1711 | 2015-12-09 |
| 1871998500 | Natalie Campbell | Psychologist | 275 Business Park Dr., Kenna, WV 25248 | 2014-10-23 |
| 1669875738 | Joe Testa | Psychologist | 34 Dorothy Ave, Wheeling, WV 26003-5217 | 2014-10-03 |
| Find all providers with the same taxonomy | ||||
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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.