Katrina E Millsape, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R203265 Issued in MD

Practice address

800 Tyings Lane
Havre de Grace, MD 21078

Phone

(410) 273-2205

NPI assigned

Oct 4, 2010

Last updated

Apr 4, 2025By the provider in NPPES

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 names 1

• Katrina E Millsape Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Olmsted Health & Services Corp.

  dba Eliza Jennings Senior Care

  • Internal Medicine Physician
  • Olmsted Falls, OH
  • NPI 1851370647
  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1447569710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TYDINGS LN",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782102",
            "telephone_number": "410-273-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TYINGS LANE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "410-273-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLSAPE",
        "first_name": "KATRINA",
        "middle_name": "E",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "MILLSAPE",
            "middle_name": "E",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra P Mertz, RN, IBCLC
• Michael S. Presti D.P.M., P.a.
• Gianni B Migliaccio, PA-C
• Surendra Kumar Milak, M.D., F.A.C.E.P.
• Gloria Miller, MS, CCC-SLP
• Jasper Mislak
• Kamrudin Mithani, M.D.
• Monarch Behavioral Therapy Bii, LLC
• Lisa Montgomery
• Alice McCarty Moore, APN-BC

• Psychiatric/Mental Health Nurse Practitioner in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.