Individual provider Active NPI

Acacia Mills, CNA

  • Nursing Care Agency
  • Miami, FL
National Provider Identifier
1104318401
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
CNA347186 Issued in FL
Practice address
15715 S Dixie Hwy Ste 328
Miami, FL 33157-1883
Phone
(786) 592-1415
Fax
(253) 270-8779
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CNA347186 FL
Home Health Aide 374U00000X CNA347186 FL
Nursing Care Agency 251J00000X CNA347186 FL Primary

Addresses

Primary practice location

15715 S Dixie Hwy Ste 328
Miami, FL 33157-1883

Mailing address

114 Sand Pine TRL
Crawfordville, FL 32327-1253
Phone (850) 933-8929

Other practice location 1

114 Sand Pine Trl
Crawfordville, FL 32327-1253
Phone (850) 933-8929

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

State licenses

LicenseStateTypeSpecialty
CNA347186FLMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Welspatea Holistic Living, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1104318401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SAND PINE TRL",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271253",
            "telephone_number": "850-933-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 S DIXIE HWY STE 328",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571883",
            "telephone_number": "786-592-1415",
            "fax_number": "253-270-8779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Sand Pine Trl",
            "address_purpose": "LOCATION",
            "city": "Crawfordville",
            "state": "FL",
            "postal_code": "323271253",
            "country_code": "US",
            "telephone_number": "850-933-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "ACACIA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA347186",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "CNA347186",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "CNA347186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.