Individual provider Active NPI

Brooke Naomi Mills

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Mesa, AZ
National Provider Identifier
1295565935
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
LIC23-05970 Issued in AZ
Practice address
6638 E Superstition Springs Blvd Ste 105
Mesa, AZ 85206-4420
Phone
(480) 442-1827
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X LIC-23-05970 AZ
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X LIC23-05970 AZ Primary

Addresses

Primary practice location

6638 E Superstition Springs Blvd Ste 105
Mesa, AZ 85206-4420

Mailing address

20408 E Palomino Dr
Queen Creek, AZ 85142-7139
Phone (808) 852-9995

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LIC23-05970AZMDRespiratory/Developmental/Rehabilitative Specialist/Technologist
LIC-23-05970AZMDOther Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1295565935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 E PALOMINO DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427139",
            "telephone_number": "808-852-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6638 E SUPERSTITION SPRINGS BLVD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064420",
            "telephone_number": "480-442-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BROOKE",
        "middle_name": "NAOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "AZ",
            "license": "LIC-23-05970",
            "primary": false
        },
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "AZ",
            "license": "LIC23-05970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.