Individual provider Active NPI

Virginia C Milligan, FNP

  • Family Nurse Practitioner
  • Lake Jackson, TX
National Provider Identifier
1154963890
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142935 Issued in TX
Practice address
210 Lake Rd Ste 100B
Lake Jackson, TX 77566-4989
Phone
(979) 297-6503
Fax
(979) 297-7600
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142935 TX Primary

Addresses

Primary practice location

210 Lake Rd Ste 100B
Lake Jackson, TX 77566-4989

Mailing address

210 Lake Rd Ste 100B
Lake Jackson, TX 77566-4989
Phone (979) 297-6503

Other practice location 1

9223 Broadway St Ste 103
Pearland, TX 77584-9759
Phone (281) 412-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626004091 TX Practitioner - Nurse Practitioner 9335612688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7471 N Fresno St
Fresno, CA 93720-2457

9301 Pinecroft Dr
Suite 100
The Woodlands, TX 77380-3178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP142935TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silverlake Pediatric Clinic, PA Pediatrics CurrentSince May 30, 2026 Accepting new patients

Locations

9721 Broadway St
Ste 111
Pearland, TX 77584
Phone (713) 436-3637

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.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1154963890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LAKE RD STE 100B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664989",
            "telephone_number": "979-297-6503",
            "fax_number": "979-297-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAKE RD STE 100B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664989",
            "telephone_number": "979-297-6503",
            "fax_number": "979-297-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9223 Broadway St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775849759",
            "country_code": "US",
            "telephone_number": "281-412-7111",
            "fax_number": "832-456-1703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "VIRGINIA",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.