Active NPI
Carolyn J. Milligan, WHCNP
- Women's Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1699775890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 251477
- Practice address
- 5201 Harry Hines Blvd
Wish Tubal Clinic
Dallas, TX 75235-7708 - Phone
- (214) 590-5306
- Fax
- (214) 590-2798
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 251477 | TX | Primary |
Addresses
Primary practice location
5201 Harry Hines Blvd
Wish Tubal Clinic
Dallas, TX 75235-7708
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041544002 | Medicaid | TX | |
| 8N4885 | Other | TX | BLUE CROSS BLUE SHIELD |
| 041544010 | Medicaid | TX | |
| 041544005 | Medicaid | TX | |
| 041544007 | Medicaid | TX | |
| 041544009 | Medicaid | TX | |
| 041544012 | Medicaid | TX | |
| 041544013 | Medicaid | TX | |
| 041544003 | Medicaid | TX | |
| 041544006 | Medicaid | TX | |
| 041544011 | Medicaid | TX | |
| 041544008 | Medicaid | TX | |
| 041544004 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferris Family Medicine, PA | Current | Accepting new patients |
Locations
201 W 5th St
Ferris, TX 75125
Phone (469) 373-2967
207 W 5th St
Ferris, TX 75125
Phone (972) 842-3016
Interoperability endpoints
- carolyn.milligan@dp2.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/CAHCAD
- cmilligan8374@direct.phhs.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Ferris, TX
- NPI 1417231929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239580800000",
"number": "1699775890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 HARRY HINES BLVD",
"address_2": "WISH TUBAL CLINIC",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357708",
"telephone_number": "214-590-5306",
"fax_number": "214-590-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIGAN",
"first_name": "CAROLYN",
"middle_name": "J.",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2009-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "251477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8N4885",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544010",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544005",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544007",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544009",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544012",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544013",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544006",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544011",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544008",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041544004",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.