Diana Gray Millenbaugh, MSN, RNP, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A02944ANP Issued in AR

Practice address

3801 Camden Rd Ste 12
Pine Bluff, AR 71603-4612

Phone

(870) 534-4847

Fax

(870) 534-4884

NPI assigned

Jun 22, 2011

Last updated

Jun 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Gray-Millenbaugh Practitioner Healthcare, LLC

  • Nursing Care Agency
  • Pine Bluff, AR
  • NPI 1962883520
  Authorized official Same address or phone
• Hospice Care Services

  • Community Based Hospice Care Agency
  • Pine Bluff, AR
  • NPI 1851379507
  NPD
• Affinity Hospice Arkansas, LLC

  dba Affinity Hospice

  • Community Based Hospice Care Agency
  • White Hall, AR
  • NPI 1932874757
  NPD (past)
• Affinity Palliative Arkansas, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pine Bluff, AR
  • NPI 1528747326
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1033405600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CAMDEN RD STE 12",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034612",
            "telephone_number": "870-534-4847",
            "fax_number": "870-534-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CAMDEN RD STE 12",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034612",
            "telephone_number": "870-534-4847",
            "fax_number": "870-534-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLENBAUGH",
        "first_name": "DIANA",
        "middle_name": "GRAY",
        "name_prefix": "Mrs.",
        "credential": "MSN, RNP, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A02944ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele a Pashkevich MD PA
• Michelle Eckert, M. D., PA
• Toni L Middleton, MD
• Mike S. McFarland Mdpa
• Chinedu Michael Mike-Eneh, M.B.B.S
• Felecia K Miller
• Lyntisha Miller
• Sidney Miller, MHPP
• Christine Anne Mirabal, MD
• Roberto Agustin Miranda Rivas, MD

• Family Nurse Practitioner in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.