Active NPI
Becky C. Milan, CPNP
- Pediatric Nurse Practitioner
- Springfield, IL
National Provider Identifier
1225331309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209-008585
- Practice address
- 2239 E Cook St
Springfield, IL 62703-1944 - Phone
- (217) 788-2300
- NPI assigned
- Dec 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 209-008585 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | 209-008585 | IL | Primary |
Addresses
Primary practice location
2239 E Cook St
Springfield, IL 62703-1944
Mailing address
PO Box 19665
Springfield, IL 62794-9665
Phone (217) 545-7500
Other practice location 1
301 N 8th Street
St John's Pavilion
Springfield, IL 62794-9665
Phone (217) 545-7500
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
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1225331309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19665",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949665",
"telephone_number": "217-545-7500",
"fax_number": "217-545-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2239 E COOK ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627031944",
"telephone_number": "217-788-2300"
}
],
"practiceLocations": [
{
"address_1": "301 N 8th Street",
"address_2": "St John's Pavilion",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627949665",
"country_code": "US",
"telephone_number": "217-545-7500",
"fax_number": "217-545-7305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILAN",
"first_name": "BECKY",
"middle_name": "C.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "IL",
"license": "209-008585",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209-008585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.