Vicki McMillan

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

1312387 Issued in MS

Practice address

7487 Highway 613
Moss Point, MS 39563

Phone

(228) 366-4954

Fax

(228) 285-0445

NPI assigned

Feb 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Serenity in Home Care Services

  • Home Health Agency
  • Moss Point, MS
  • NPI 1033842117
  NPD Authorized official

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1043966641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7487 HIGHWAY 613",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "39563",
            "telephone_number": "228-366-4954",
            "fax_number": "228-285-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7487 HIGHWAY 613",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "39563",
            "telephone_number": "228-366-4954",
            "fax_number": "228-285-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "VICKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MS",
            "license": "1312387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Mallette, NP
• Jessica McDonald
• Patrick Conrad McGuire II, MD
• Reba J McMellon, M.S., LPC
• Steve McMellon, RPH
• Medi Mart Pharmacies of Mississippi, Inc.
• Janice L Miles, DO
• Miller Pharmacy
• Misissippi Providence Healthcare Services, Inc.
• Missing Peace Enterprise

• Home Health Aide in Moss Point, MS
• Providers in Moss Point, MS by specialty
• Home Health Aide in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.