Active NPI
Mary Alice Milnes, NP
- Nurse Practitioner
- Belington, WV
National Provider Identifier
1255368031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 24775
- Practice address
- 210 N Sturmer St
Belington, WV 26250-9215 - Phone
- (304) 823-2800
- Fax
- (304) 823-2803
- NPI assigned
- Jun 27, 2006
- 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 | 24775 | WV | Primary |
Addresses
Primary practice location
210 N Sturmer St
Belington, WV 26250-9215
Mailing address
210 N Sturmer St
Belington, WV 26250-9215
Phone (304) 823-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004181 | Medicaid | WV |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24775 | WV | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1255368031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N STURMER ST",
"city": "BELINGTON",
"state": "WV",
"postal_code": "262509215",
"telephone_number": "304-823-2800",
"fax_number": "304-823-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N STURMER ST",
"city": "BELINGTON",
"state": "WV",
"postal_code": "262509215",
"telephone_number": "304-823-2800",
"fax_number": "304-823-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILNES",
"first_name": "MARY",
"middle_name": "ALICE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "24775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004181",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.