Individual provider Active NPI

Chantel Marie Miladinovic

  • Case Management Registered Nurse
  • Peoria, AZ
National Provider Identifier
1356089015
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN166058 Issued in AZ
Practice address
9224 W John Cabot Rd
Peoria, AZ 85382-7709
Phone
(623) 428-4497
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN166058 AZ
Continuing Education/Staff Development Registered Nurse 163WC1600X RN166058 AZ
Gerontology Registered Nurse 163WG0600X RN166058 AZ
Infusion Therapy Registered Nurse 163WI0500X RN166058 AZ
Wound Care Registered Nurse 163WW0000X RN166058 AZ
Home Health Agency 251E00000X RN166058 AZ
Case Management Registered Nurse 163WC0400X RN166058 AZ Primary

Addresses

Primary practice location

9224 W John Cabot Rd
Peoria, AZ 85382-7709

Mailing address

9224 W John Cabot Rd
Peoria, AZ 85382-7709
Phone (623) 428-4497

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
RN166058AZMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1356089015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 W JOHN CABOT RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827709",
            "telephone_number": "623-428-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9224 W JOHN CABOT RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827709",
            "telephone_number": "623-428-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILADINOVIC",
        "first_name": "CHANTEL",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN166058",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "AZ",
            "license": "RN166058",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "AZ",
            "license": "RN166058",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "AZ",
            "license": "RN166058",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "RN166058",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "RN166058",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "RN166058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.