IndividualActive
Shane Mikesky, RD
NPI 1225769730 · Registered Dietitian · Kirtland Afb, NM
Shane Mikesky, RD is a Registered Dietitian provider in Kirtland Afb, NM (NPI 1225769730).
Provider details
- NPI number
- 1225769730
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Male
- Sole proprietor
- No
- License
- 86174678
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2050a 2nd St Se
Kirtland Afb, NM 87117-7220
Phone: (505) 846-3200
Approximate (ZIP-level) locationGet directions
Mailing address
3832 La Charles Dr Ne
Albuquerque, NM 87111-4116
Additional practice locations (1)
- 3832 La Charles Dr NeAlbuquerque, NM 87111-4116Phone: (317) 650-7234
Registry dates
- Enumerated
- 2022-06-23
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Frequently asked questions
- What is Shane Mikesky's NPI number?
- Shane Mikesky's National Provider Identifier (NPI) is 1225769730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Mikesky's specialty?
- Shane Mikesky is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Shane Mikesky located?
- Shane Mikesky's practice location on file with NPPES is 2050a 2nd St Se, Kirtland Afb, NM 87117-7220.
- What is Shane Mikesky's phone number?
- The practice phone number listed in the NPPES registry for Shane Mikesky is (505) 846-3200.
- Is Shane Mikesky's NPI active?
- Yes — Shane Mikesky's NPI (1225769730) is active in the NPPES registry as of the last update on 2026-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.