Phyllis A Milburn, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3011435 Issued in KY

Practice address

5743 Preston Hwy
Louisville, KY 40219-1305

Phone

(502) 444-6008

NPI assigned

Nov 7, 2012

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, VA, SC, NC4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Oak Street Health Physicians Group of Kentucky, PLLCGroup PAC ID 5991105330, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Street Health Physicians Group of Kentucky, PLLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1467031997

  Professional

  Medicare reassignment Care Compare group NPD
• Osh-Mi Physicians Group PC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1033766092

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Oak Street Health Physicians Group of South Carolina, LLC

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1023614914
  Medicare reassignment NPD
• Osh-VA Physicians Group PLLC

  • Primary Care Clinic/Center
  • Richmond, VA
  • NPI 1346941424
  Medicare reassignment NPD
• Osh Mi Physicians Group, PC

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1720635790
  NPD

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1164776563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740017",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740017",
            "telephone_number": "312-733-9730",
            "fax_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191305",
            "telephone_number": "502-444-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "496 Southland Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031827",
            "country_code": "US",
            "telephone_number": "859-288-2425",
            "fax_number": "859-288-7510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274057007",
            "country_code": "US",
            "telephone_number": "336-200-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6119 White Horse Rd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296113838",
            "country_code": "US",
            "telephone_number": "864-614-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "PHYLLIS",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "00220316",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019969",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3011435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Elizabeth Milazzo, PSYD
• Elizabeth Reda Milazzotto, D. MIN.
• Bethany Jewel Milburn, RBT
• Cayla Renee Milburn, AS, COTA
• Mar Milburn
• Madison Milby, PHARMD
• Melissa Milby
• Neysa Miles-Walker
• Alysa Miles
• Carol Ayn Miles, ART

• Psychiatric/Mental Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.