Active NPI
Jessica Lorraine Milton, CRNP
- Nurse Practitioner
- La Plata, MD
National Provider Identifier
1255104493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R219280
- Practice address
- 115A la Grange Ave # a
La Plata, MD 20646-9592 - Phone
- (301) 392-1935
- NPI assigned
- Oct 31, 2023
- Last updated
- Oct 31, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R219280 | MD | Primary |
Addresses
Primary practice location
115A la Grange Ave # a
La Plata, MD 20646-9592
Mailing address
115A la Grange Ave # a
La Plata, MD 20646-9592
Phone (301) 392-1935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R219280 | MD | MD | Nurse Practitioner |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FGHHBA/Endpoint/FGHHBA
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1255104493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115A LA GRANGE AVE # A",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206469592",
"telephone_number": "301-392-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115A LA GRANGE AVE # A",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206469592",
"telephone_number": "301-392-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILTON",
"first_name": "JESSICA",
"middle_name": "LORRAINE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R219280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.