Active NPI
Milestones, LLC
- Case Management Agency
- Meridian, ID
National Provider Identifier
1598967416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- SW1965
- Legal business name
- MILESTONES, LLC
- Practice address
- 2863 S Tagish Way
Meridian, ID 83642-9191 - Phone
- (208) 898-0197
- NPI assigned
- Jun 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Petrie
- Title
- Owner
- Phone
- (208) 861-1210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | SW1965 | ID | Primary |
Addresses
Primary practice location
2863 S Tagish Way
Meridian, ID 83642-9191
Mailing address
PO Box 15237
Boise, ID 83715-5237
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598967416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15237",
"city": "BOISE",
"state": "ID",
"postal_code": "837155237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2863 S TAGISH WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429191",
"telephone_number": "208-898-0197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILESTONES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETRIE",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-861-1210"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "ID",
"license": "SW1965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.