Active NPI
Theresa V Mills, ARDMS
- Sonography Radiologic Technologist
- Northborough, MA
National Provider Identifier
1437570645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 21008
- Practice address
- 1 E Main St Ste 101
Northborough, MA 01532-1662 - Phone
- (508) 394-4847
- Fax
- (508) 394-3638
- NPI assigned
- Dec 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | 21008 | NY | |
| Specialist | 174400000X | 21008 | NY | |
| Physician Office Based Coding Specialist | 246YC3302X | 21008 | NY | |
| Sonography Radiologic Technologist | 2471S1302X | 21008 | NY | Primary |
| Other Technician | 247200000X | 21008 | NY |
Addresses
Primary practice location
1 E Main St Ste 101
Northborough, MA 01532-1662
Mailing address
24 Route 134
South Dennis, MA 02660-3739
Phone (508) 394-4847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21008 | Other | MA | ARDMS |
Other names 1
- Theresa V Mills
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21008 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1437570645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ROUTE 134",
"city": "SOUTH DENNIS",
"state": "MA",
"postal_code": "026603739",
"telephone_number": "508-394-4847",
"fax_number": "508-394-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E MAIN ST STE 101",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321662",
"telephone_number": "508-394-4847",
"fax_number": "508-394-3638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "THERESA",
"middle_name": "V",
"credential": "ARDMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "NY",
"license": "21008",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "21008",
"primary": false
},
{
"code": "246YC3302X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information, Coding Specialist, Physician Office Based",
"state": "NY",
"license": "21008",
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NY",
"license": "21008",
"primary": true
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NY",
"license": "21008",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARDMS",
"identifier": "21008",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "MILLS",
"middle_name": "V",
"credential": "ARDMS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.