Teri Anne Milburn, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

713212 Issued in CA

Practice address

10694 Swede Creek Rd
Palo Cedro, CA 96073-8755

Phone

(530) 921-6323

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Teri Anne Pestotnik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1205669991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491542",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960491542",
            "telephone_number": "530-921-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10694 SWEDE CREEK RD",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960738755",
            "telephone_number": "530-921-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "TERI",
        "middle_name": "ANNE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "713212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "PESTOTNIK",
            "middle_name": "ANNE",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Angel Rainbow Osa, TECHNICIAN

• Licensed Vocational Nurse in Palo Cedro, CA
• Providers in Palo Cedro, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.