Individual provider Active NPI

Simone Denae Milton, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1255907705
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214980 Issued in AR
Practice address
10700 N Rodney Parham Rd Ste C11
Little Rock, AR 72212-4110
Phone
(501) 414-0438
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 214980 AR Primary

Addresses

Primary practice location

10700 N Rodney Parham Rd Ste C11
Little Rock, AR 72212-4110

Mailing address

10700 N Rodney Parham Rd Ste C11
Little Rock, AR 72212-4110
Phone (501) 414-0438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504007236 AR Order and Referring Only - Nurse Practitioner 3870078405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
214980ARMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: simone.milton.1@21757.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1255907705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM RD STE C11",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124110",
            "telephone_number": "501-414-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM RD STE C11",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124110",
            "telephone_number": "501-414-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTON",
        "first_name": "SIMONE",
        "middle_name": "DENAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "214980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.