Mary Kathryn Mills, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP024538 Issued in PA

Practice address

5690 Shaffer Rd
Du Bois, PA 15801-3870

Phone

(814) 375-6817

Fax

(814) 375-0922

NPI assigned

Mar 17, 2017

Last updated

Jan 3, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1598206989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 SHAFFER RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013870",
            "telephone_number": "814-375-6817",
            "fax_number": "814-375-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 SHAFFER RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013870",
            "telephone_number": "814-375-6817",
            "fax_number": "814-375-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Erin Miller, PAC
• Megan Miller, OTR/L
• Melissa Miller, RN
• Melissa Wingard Miller, C.R.N.P.
• Keith D. Milliron, O.D.
• Mir-Raj Medical, Inc.
• Mir-Raj Productions, Inc (Amadi Physical Therapy)
• Deborah Jean Mitchell, BCHIS
• Susan M. Mitchell, CRNP
• Gay M Mix, MA

• Family Nurse Practitioner in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.