Jennifer Millich, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61332517 Issued in WA

Practice address

13002 54TH Ave SE
Everett, WA 98208-9548

Phone

(206) 816-5112

NPI assigned

Mar 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• RN Breastfeeding Support LLC

  dba Pacific Wellness & Lactation

  • Family Nurse Practitioner
  • Everett, WA
  • NPI 1518407758

  Registered Nurse

  NPD (past)

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1225578487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11314 4TH AVE W STE 108",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046926",
            "telephone_number": "425-322-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13002 54TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089548",
            "telephone_number": "206-816-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLICH",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61332517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@pwlactation.com",
            "affiliation": "N",
            "address_1": "13002 54th Ave SE",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982089548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie E. Miller
• Stephanie Lashay Miller
• Steven Roy Miller, MLC , MH, MNLP
• Taryn Miller, APRN
• Camron Jamel Millhouse, BSW, AAC
• Michael Millie, MD
• Daniel John Millikan, MD
• Peter A Millikan
• Sally Jo Millis, MSW CSW LICSW GMHS
• Adrienne Mills, RN

• Family Nurse Practitioner in Everett, WA
• Providers in Everett, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.