Organization Active NPI

Beidemariam Milton

  • Point of Service
  • Tallahassee, FL
National Provider Identifier
1336501493
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
9328911 Issued in FL
Legal business name
BEIDEMARIAM MILTON
Practice address
1022 Marys Dr
Tallahassee, FL 32308-5266
Phone
(850) 385-0370
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Beidemariam Milton
Title
Owner
Phone
(850) 385-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 9328911 FL Primary

Addresses

Primary practice location

1022 Marys Dr
Tallahassee, FL 32308-5266

Mailing address

1022 Marys Dr
Tallahassee, FL 32308-5266

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1336501493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 MARYS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MARYS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085266",
            "telephone_number": "850-385-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEIDEMARIAM MILTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "BEIDEMARIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-385-0370"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "9328911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.