Kimberly Mills

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

881 All American Way
Martinsburg, WV 25405-6989

Phone

(301) 730-9105

NPI assigned

Feb 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1336731934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALL AMERICAN WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254056989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALL AMERICAN WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254056989",
            "telephone_number": "301-730-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Elaine Miller, M.AC.
• Tiffany Dawn Miller
• Angela Mills
• Eryn Mills, MS
• James Michael Mills
• Marsha A Mills, PH.D.
• Mindz Matters Counseling Services Inc
• Edna Minear
• Valeria Miranda, PMHNP-BC
• Dimitri Misailidis, MD

• Community Health Worker in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.