Active NPI
Alycia Michelle Milan, LIC. PRACTICAL NURSE
- Licensed Practical Nurse
- Tacoma, WA
National Provider Identifier
1528299161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP60012934
- Practice address
- 1201 S. Proctor
Comprehensive Mental Health Pearl Street Center
Tacoma, WA 98465 - Phone
- (253) 396-5930
- Fax
- (253) 566-2252
- NPI assigned
- Jul 30, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP60012934 | WA | Primary |
Addresses
Primary practice location
1201 S. Proctor
Comprehensive Mental Health Pearl Street Center
Tacoma, WA 98465
Mailing address
1201 S. Proctor
Comprehensive Mental Health Pearl Street Center
Tacoma, WA 98465
Phone (253) 396-5930
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 |
|---|---|---|---|
| LP60012934 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1528299161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S. PROCTOR",
"address_2": "COMPREHENSIVE MENTAL HEALTH PEARL STREET CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "98465",
"telephone_number": "253-396-5930",
"fax_number": "253-566-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S. PROCTOR",
"address_2": "COMPREHENSIVE MENTAL HEALTH PEARL STREET CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "98465",
"telephone_number": "253-396-5930",
"fax_number": "253-566-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAN",
"first_name": "ALYCIA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LIC. PRACTICAL NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-30",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP60012934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.