Victoria Ann Milbourne

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

67544 Issued in WV

Practice address

510 Butler Ave
Martinsburg, WV 25405-9990

Phone

(304) 263-0811

NPI assigned

May 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1417514001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CORIANDER WAY",
            "city": "BUNKER HILL",
            "state": "WV",
            "postal_code": "254133625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BUTLER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254059990",
            "telephone_number": "304-263-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBOURNE",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WV",
            "license": "67544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00002615826",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa A Michael, SLP
• Tyler M Michaels, RRT, RCP
• Michelle Smith LLC
• Richard John Mier, MD, MPH
• Jyotsna Milbourne, PH. D.
• Cherise R Milburn
• Amanda Jo Miller
• Autumn Miller
• Bethanie Miller, RN
• Bobbi Miller

• Nurse's Aide in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Nurse's Aide in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.