Holly Martin Millet, NP
Individual provider Active NPI Family Nurse Practitioner · Gramercy, LA
NPI 1124658745 · NPPES record last updated Jan 23, 2020
Key facts
- NPI
- 1124658745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 210698 (LA)
- Practice address
- 827 N Pine St
Gramercy, LA 70052-3602 - Phone
- (225) 869-9200
- Fax
- (225) 869-9241
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200416002070 | LA | Practitioner - Nurse Practitioner | 0143650044 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210698 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. James Primary Care, Apmc | Current |
Accepting new patients | |
| St. James Primary Care | Current |
Accepting new patients |
Locations
108 N Ezidore Ave
Gramercy, LA 70052
Phone (225) 258-4029
827 N Pine St
Gramercy, LA 70052
Phone (225) 258-9490
502 Rue de Sante
Ste 301
La Place, LA 70068
Phone (985) 651-5751
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 210698 | LA | Yes |
Addresses
Primary practice location
827 N Pine St
Gramercy, LA 70052-3602
Mailing address
PO Box 419
Gramercy, LA 70052-0419
Phone (225) 869-9200
Other practice location 1
502 Rue De Sante Ste 301
LA Place, LA 70068-5424
Phone (985) 652-5475
Other providers in Gramercy, LA
- Paris W Lewis
- Chad M Madere
- Jeanne Bourque Maylon
- Eancia C McCrory
- Robert McDonald
- Victoria Harris Millet
- Richard Jude Oubre
- Toya Lynell Patterson
- Brandi Boudreaux Payne
- Jude F. Poche
All providers in Gramercy, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.