Active NPI
Bernadette Marie Milbury, NP
- Adult Health Nurse Practitioner
- Anaheim, CA
National Provider Identifier
1124204102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 17644
- Practice address
- 1801 W Romneya Dr
Anaheim, CA 92801-1830 - Phone
- (714) 999-1465
- NPI assigned
- Jan 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 17644 | CA | Primary |
Addresses
Primary practice location
1801 W Romneya Dr
Anaheim, CA 92801-1830
Mailing address
1801 W Romneya Dr
Anaheim, CA 92801-1830
Phone (714) 999-1465
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17644 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1124204102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W ROMNEYA DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011830",
"telephone_number": "714-999-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W ROMNEYA DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011830",
"telephone_number": "714-999-1465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBURY",
"first_name": "BERNADETTE",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-21",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "17644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.