Sherita Kenyatta Jo Mills, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

76239 Issued in NC

Practice address

960 Dover Ave
Akron, OH 44320-2842

Phone

(704) 267-5254

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1689374316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 FESPERMAN CIR",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281663401",
            "telephone_number": "704-267-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 DOVER AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202842",
            "telephone_number": "704-267-5254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Fesperman Cir",
            "address_purpose": "LOCATION",
            "city": "Troutman",
            "state": "NC",
            "postal_code": "281663401",
            "country_code": "US",
            "telephone_number": "704-267-5254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "SHERITA",
        "middle_name": "KENYATTA JO",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "76239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Mills
• Miranda Marie Mills Sr.
• Otho Ed Mills IV
• Pamela S Mills
• Ryan David Mills, D.O.
• Charles Millward
• Vicki Lynn Milnark, PCC-S
• Anton GC Milo, MD
• Robert Patrick Milo, MA
• Laura Ann Milone, MSN, PMHNP-BC

• Licensed Practical Nurse in Akron, OH
• Providers in Akron, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.