Active NPI
Cheryl Millheim
- Family Nurse Practitioner
- Lutz, FL
National Provider Identifier
1003300781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9217938
- Practice address
- 2322 Land O Lakes Blvd
Lutz, FL 33549-2919 - Phone
- (813) 778-3149
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9217938 | FL | Primary |
Addresses
Primary practice location
2322 Land O Lakes Blvd
Lutz, FL 33549-2919
Mailing address
2322 Land O Lakes Blvd
Lutz, FL 33549-2919
Phone (813) 778-3149
Other practice location 1
809 CR 466
C-301
Lady Lake, FL 32159
Phone (352) 732-5590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003300781 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1003300781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 LAND O LAKES BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335492919",
"telephone_number": "813-778-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 LAND O LAKES BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335492919",
"telephone_number": "813-778-3149"
}
],
"practiceLocations": [
{
"address_1": "809 CR 466",
"address_2": "C-301",
"address_purpose": "LOCATION",
"city": "Lady Lake",
"state": "FL",
"postal_code": "32159",
"country_code": "US",
"telephone_number": "352-732-5590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLHEIM",
"first_name": "CHERYL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2020-09-18",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9217938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003300781",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.