Christy Ann Milam

Key facts

NPI

1104153295

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

R0078884 D6248676 (OK)

Practice address

608 Highway 271 N
Antlers, OK 74523-2055

Phone

(580) 298-5062

Fax

(580) 298-5072

NPI assigned

Nov 10, 2009

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Zen Gee Counseling & Psychological Serv LLC Mental Health Counselor · Antlers, OK · NPI 1841491214
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 10, 2009.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1104153295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745230104",
            "telephone_number": "580-271-0193",
            "fax_number": "580-298-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HIGHWAY 271 N",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232055",
            "telephone_number": "580-298-5062",
            "fax_number": "580-298-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "CHRISTY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0078884 D6248676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Antlers, OK · Registered Nurse in Oklahoma