Organization Active NPI

Millie Medical of Kansas, P.a.

  • General Practice Physician
  • Overland Park, KS
National Provider Identifier
1023734951
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MILLIE MEDICAL OF KANSAS, P.A.
Practice address
12022 Blue Valley Pkwy Ste 523
Overland Park, KS 66213-2647
Phone
(561) 476-0060
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Herrera
Title
Clinical Operations Manager
Phone
(920) 915-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

12022 Blue Valley Pkwy Ste 523
Overland Park, KS 66213-2647

Mailing address

222 Lakeview Ave Ste 735
West Palm Beach, FL 33401-6145

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1023734951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LAKEVIEW AVE STE 735",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12022 BLUE VALLEY PKWY STE 523",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132647",
            "telephone_number": "561-476-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIE MEDICAL OF KANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "920-915-6995"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.