Shelby Millwood, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5009911 Issued in NC

Practice address

105 E College Ave
Shelby, NC 28152-9543

Phone

(704) 434-6560

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Cleveland North Carolina

  • State or Local Public Health Clinic/Center
  • Shelby, NC
  • NPI 1720151525

  NC

  Medicare reassignment NPD
• County of Cleveland North Carolina

  • Clinic Pharmacy
  • Shelby, NC
  • NPI 1275579294
  NPD
• County of Cleveland North Carolina

  • State or Local Public Health Clinic/Center
  • Shelby, NC
  • NPI 1639244452
  NPD
• Hospice of Rutherford County, Inc.

  • Community Based Hospice Care Agency
  • Forest City, NC
  • NPI 1326041013
  NPD
• Hospice of Rutherford County, Inc

  • Community Based Hospice Care Agency
  • Landrum, SC
  • NPI 1063674166
  NPD

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1356850796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E COLLEGE AVE",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281529543",
            "telephone_number": "704-434-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E COLLEGE AVE",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281529543",
            "telephone_number": "704-434-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLWOOD",
        "first_name": "SHELBY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "194737",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Michelle Merritt, DO
• Victoria N Miley
• Donald Glenn Miller Jr., PT,DPT,MS,CSCS
• Donald S. Miller, M.D.
• Sara Jane Miller, DC
• Mind & Body Wellness, PLLC
• Amber Blackwood Miner, MED, LCMHC, LPC
• Amy Liann Mitchell-Parker
• Reed Patrick Mockaitis, DDS, MS, PA
• Bradley Steven Moffitt, D.C.

• All providers in Shelby, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.