Active NPI
Theressa Milhouse, RN
- Clinical Medical Laboratory
- Youngstown, OH
National Provider Identifier
1134736887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 08D2191118
- Practice address
- 4845 Market St Ste 2
Youngstown, OH 44512-2100 - Phone
- (330) 953-2700
- Fax
- (330) 953-2705
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Clinical Medical Laboratory | 291U00000X | 08D2191118 | DE | Primary |
Addresses
Primary practice location
4845 Market St Ste 2
Youngstown, OH 44512-2100
Mailing address
4845 Market St Ste 2
Youngstown, OH 44512-2100
Phone (330) 953-2700
Other practice location 1
896 S State St
Dover, DE 19901-4148
Phone (302) 603-3976
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)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08D2191118 | DE | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart to Heart Health Services | Clinical Medical Laboratory | Current | Accepting new patients |
| Heart to Heart Health Services of Ohio LLC | Clinical Medical Laboratory | Current | Accepting new patients |
Locations
896 S State St
Dover, DE 19901
Phone (302) 450-3932
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Youngstown, OH
- NPI 1407516883
-
dba Heart to Heart Health Services LLC
- Clinical Medical Laboratory
- Dover, DE
- NPI 1972100238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705104000000",
"number": "1134736887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 MARKET ST STE 2",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445122100",
"telephone_number": "330-953-2700",
"fax_number": "330-953-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4845 MARKET ST STE 2",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445122100",
"telephone_number": "330-953-2700",
"fax_number": "330-953-2705"
}
],
"practiceLocations": [
{
"address_1": "896 S State St",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "DE",
"postal_code": "199014148",
"country_code": "US",
"telephone_number": "302-603-3976",
"fax_number": "302-538-7577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILHOUSE",
"first_name": "THERESSA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2024-01-13",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "DE",
"license": "08D2191118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.