Active NPI
Tanesha Deanna Mills
- Specialist
- Ocala, FL
National Provider Identifier
1538356720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA67407
- Practice address
- 1515 East Silver Springs Boulevard
Suite 121
Ocala, FL 34474-2934 - Phone
- (352) 390-8875
- Fax
- (352) 390-8895
- NPI assigned
- Oct 2, 2007
- Last updated
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA67407 | FL | Primary |
| Community Health Worker | 172V00000X | 692013696 | FL |
Addresses
Primary practice location
1515 East Silver Springs Boulevard
Suite 121
Ocala, FL 34474-2934
Mailing address
1515 E Silver Springs Blvd
Suite121
Ocala, FL 34470-6831
Phone (352) 484-2055
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 |
|---|---|---|---|
| 692013696 | FL | MD | Community Health Worker |
| MA67407 | FL | MD | Specialist |
Organizations & group practices 1
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.
-
- Homemaker
- Ocala, FL
- NPI 1619485133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1538356720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E SILVER SPRINGS BLVD",
"address_2": "SUITE121",
"city": "OCALA",
"state": "FL",
"postal_code": "344706831",
"telephone_number": "352-484-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 EAST SILVER SPRINGS BOULEVARD",
"address_2": "SUITE 121",
"city": "OCALA",
"state": "FL",
"postal_code": "344742934",
"telephone_number": "352-390-8875",
"fax_number": "352-390-8895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "TANESHA",
"middle_name": "DEANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA67407",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "692013696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.