Milena T Mask, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN304192 Issued in GA

Practice address

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472

Phone

(866) 389-2727

NPI assigned

Oct 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aharmony Home Health

  • Home Health Agency
  • Kennesaw, GA
  • NPI 1316894371
  NPD Authorized official
• Elite Minds Peak Performance

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1003769993
  NPD Authorized official

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1669922654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 N COBB PKWY",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 N COBB PKWY",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523472",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18660 Graphic Dr",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "60477",
            "country_code": "US",
            "telephone_number": "708-263-2000",
            "fax_number": "708-263-2023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Burr Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605270849",
            "country_code": "US",
            "telephone_number": "530-756-5270",
            "fax_number": "574-538-4859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 E 47th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606534507",
            "country_code": "US",
            "telephone_number": "708-263-2000",
            "fax_number": "708-263-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASK",
        "first_name": "MILENA",
        "middle_name": "T",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041368107",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014505",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN304192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravin Martin
• Kristi Marie Martinez
• Nancy Martinez, NP
• Gianna G Martini-James, LCSW
• Sarah Marzen, RN
• Brian Patrick Mason, MD
• Ryan Mathew, M.D.
• Katherine Leigh Mathis, M.ED.CCC-SLP
• Nicole Adair Mathis, OT
• Stephanie L Mathis, FNP-C

• Family Nurse Practitioner in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.