Brianna Millard, MS, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000005258 Issued in CA

Practice address

2475 Grand Ave
San Diego, CA 92109-4825

Phone

(858) 273-1313

NPI assigned

Feb 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1679012447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11143 ORION AVE",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451351",
            "telephone_number": "818-399-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 GRAND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094825",
            "telephone_number": "858-273-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "BRIANNA",
        "name_prefix": "Ms.",
        "credential": "MS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000005258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Millan, BCBA
• Linda Severina Millan
• Jordan Millar, D.C
• Melissa Butcher Millar, M.D.
• Walter L. Millar, M.D.
• Carolina Millard
• Frederick Edward Millard, M.D.
• John B Millard, MD
• Keith Richard Millard, DENTIST
• Marie Maynard Millard, MFT

• Athletic Trainer in San Diego, CA
• Providers in San Diego, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.