Milestones Early Intervention Services Network

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MILESTONES EARLY INTERVENTION SERVICES NETWORK

Practice address

170 Fitzgerald Rd Ste 1
Lakeland, FL 33813-2633

Phone

(863) 638-8372

NPI assigned

Jul 9, 2021

Organization subpart

No

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

Authorized official

Name

Wendy Bradshaw

Title

Sole MBR

Phone

(863) 638-8372

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1457922437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 FITZGERALD RD STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132633",
            "telephone_number": "863-638-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FITZGERALD RD STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132633",
            "telephone_number": "863-638-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES EARLY INTERVENTION SERVICES NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "863-638-8372"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "provider@mdl.network",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "170 Fitzgerald Rd Ste 1",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338132633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alison Milam
• Mildred Arnold-Graham
• Mildred Lane Home Care Services LLC.
• Mildred Lane Home Care Services LLC.
• Cayley Miles, BCBA, M.ED
• Milestones Early Intervention, LLC
• Yarmin Milian Baluja
• Maria Jose Millan Blanco, RBT
• Hannah Millan
• Ashley C Miller, M.S., BCBA

• Family Medicine Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.