Mildred Marie Hillis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1169501 Issued in TX

Practice address

6020 Yucca TRL
Beeville, TX 78102-8240

Phone

(361) 944-6733

NPI assigned

Jun 12, 2024

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1356183974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 YUCCA TRL",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781028240",
            "telephone_number": "361-944-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 YUCCA TRL",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781028240",
            "telephone_number": "361-944-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIS",
        "first_name": "MILDRED",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1169501",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "706128",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "168899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H-E-B, LP (HEB Pharmacy #412)
• Haitham Jifi MD PA - Beeville Inc
• James A Hatfield, D.C.
• Health Inc (The Shepherds Community Health Center)
• Efigenia Herrera, SLP
• Zishan Anis Hirani, MD
• Amanda M Howze I, PHARMD
• Huckman Dental Professionals, PLLC
• Hudson Health, LLC
• Isd Renal Inc (Beeville Renal Center)

• Family Nurse Practitioner in Beeville, TX
• Providers in Beeville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.