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SHANE MIKESKY RD
NPI 1225769730
Dietitian, Registered in Kirtland Afb, NM

Active since June 23, 2022
2050A 2ND ST SE, KIRTLAND AFB, NM 87117(505) 846-3200 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, May 8, 2025 (2 updates tracked since 2025).

About Shane Mikesky Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE MIKESKY RD (NPI 1225769730) is an individual dietitian, registered in Kirtland Afb, New Mexico, licensed in (86174678) and active in the NPI registry since June 2022. He maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1225769730
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameSHANE MIKESKYCredential: RD
Location Address2050A 2ND ST SEKirtland Afb, NM 87117-7220
Mailing Address3832 La Charles Dr NeAlbuquerque, NM 87111-4116 · (317) 650-7234
Phone(505) 846-3200
Sole ProprietorNo
Enumeration DateJune 23, 2022
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1225769730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 86174678
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2050A 2ND ST SE, Kirtland Afb, NM 87117
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Secondary Practice Location 1

Location 13832 La Charles Dr NEAlbuquerque, NM 87111-4116 · Phone (317) 650-7234

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL CARVAJAL PSY.D.
Psychologist (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
FRANCISCO F. GALLARDO JR. DDS, MS
Dentist (Prosthodontics)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3027
PAIGE LOREEN ANDRE-HUDSON
Social Worker (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
DR. LAUREN DELANEY KLEIN DDS
Dentist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
THOMAS POWELL MD
Emergency Medicine
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
JAROM JARDINE DO
Pediatrics
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
DR. TAMERA BORCHARDT WHNP. DNP
Nurse Practitioner (Women's Health)
2050A 2ND ST SE
ALBUQUERQUE, NM 87117
Bernalillo County (505) 846-3200
DR. MARY ANN TERESE ORZECH M.D.
Preventive Medicine (Occupational Medicine)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-2520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Mikesky's NPI number?

The NPI number for Shane Mikesky is 1225769730. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Shane Mikesky located?

Shane Mikesky practices at 2050A 2nd St SE, Kirtland Afb, NM 87117. The listed phone number is (505) 846-3200.

What is Shane Mikesky's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Shane Mikesky was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.