Individual provider Active NPI

Milva McCallum, NP

  • Licensed Practical Nurse
  • Alexandria, VA
National Provider Identifier
1033365705
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
0024141731 Issued in VA
Practice address
1451 Belle Haven Rd
Ste 110
Alexandria, VA 22307-1201
Phone
(703) 765-6093
Fax
(703) 765-7761
NPI assigned
Aug 14, 2008
Last updated
Aug 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0024141731 VA Primary

Addresses

Primary practice location

1451 Belle Haven Rd
Ste 110
Alexandria, VA 22307-1201

Mailing address

1451 Belle Haven Rd
Ste 110
Alexandria, VA 22307-1201
Phone (703) 765-6093

Other identifiers 1

IdentifierTypeStateIssuer
7788959MedicaidVA

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024141731VAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Docs, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1033365705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD",
            "address_2": "STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071201",
            "telephone_number": "703-765-6093",
            "fax_number": "703-765-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 BELLE HAVEN RD",
            "address_2": "STE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071201",
            "telephone_number": "703-765-6093",
            "fax_number": "703-765-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "MILVA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0024141731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7788959",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.