Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Theresa Micknick, PAC

Medical Physician Assistant in Carbondale, PA · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164774261

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Registry record

Entity type Individual (Type 1)

Name Mrs. Theresa Micknick

Credential PAC

Sex Female

Practice address 165 Fallbrook St, Carbondale, PA, 18433

Phone (570) 282-3151

Enumeration date Oct 12, 2012

Last updated in NPPES Oct 12, 2012

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License MA001651L (PA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Theresa Micknick practice?

The practice location on file with NPPES is in Carbondale, PA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Theresa Micknick?

The National Provider Identifier (NPI) for Theresa Micknick is 1164774261, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-12.