KATHLEEN MICIANO – NPI #1477110260
Nurse Practitioner

KATHLEEN MICIANO is a nurse practitioner located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1477110260 to KATHLEEN MICIANO on May 28, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was last updated on Dec 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATHLEEN MICIANO below.

NPI Profile for
KATHLEEN MICIANO

NPI Number
1477110260
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATHLEEN MICIANO
Primary location
510 MED CT STE 210
SAN ANTONIO, TX 78258-3484
Phone: (210) 494-4290 Fax: (210) 494-4809
2 Other location(s):
2412 Jacaman Rd Ste 103
Laredo, TX 78041-2700
Phone: (956) 726-0647
5623 Hamilton Wolfe Apt 535
San Antonio, TX 78240-3995
Phone: (210) 255-0197
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Dec 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)		 TX AP141592

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.