Active NPI
Roxanne L Millien
- Foster Care Agency
- Payson, AZ
National Provider Identifier
1700219318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 4766962
- Practice address
- 606 N Bobby Jones Dr
Payson, AZ 85541-3403 - Phone
- (928) 242-0773
- NPI assigned
- Aug 19, 2013
- Last updated
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 4766962 | AZ | |
| Foster Care Agency | 253J00000X | 4766962 | AZ | Primary |
Addresses
Primary practice location
606 N Bobby Jones Dr
Payson, AZ 85541-3403
Mailing address
3652 N Cemetery Road
Pine, AZ 85544
Phone (928) 242-0773
Other names 1
- Roxanne L Castle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4766962 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1700219318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3652 N CEMETERY ROAD",
"city": "PINE",
"state": "AZ",
"postal_code": "85544",
"telephone_number": "928-242-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N BOBBY JONES DR",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855413403",
"telephone_number": "928-242-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIEN",
"first_name": "ROXANNE",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "4766962",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "AZ",
"license": "4766962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROXANNE",
"last_name": "CASTLE",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.