Active NPI
Kristina L Mills, DC
- Chiropractor
- Centralia, WA
National Provider Identifier
1740317825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034048
- Practice address
- 1102 Kresky Ave
Centralia, WA 98531-3732 - Phone
- (360) 330-1312
- Fax
- (360) 330-1320
- NPI assigned
- Feb 27, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034048 | WA | Primary |
Addresses
Primary practice location
1102 Kresky Ave
Centralia, WA 98531-3732
Mailing address
110 Ham Rd
Centralia, WA 98531-5202
Phone (360) 330-1312
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165763 | Other | WA | KRISTINA L MILLS DC L&I |
| 8349722 | Medicaid | WA | |
| 8869221 | Other | WA | MMC PTAN |
| 8870107 | Other | WA | KRISTINA PTAN |
| DB2803 | Other | WA | GROUP MEDICARE RAILROAD |
| 0165764 | Other | WA | L&I GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1102 Kresky Ave
Centralia, WA 98531-3732
Phone (360) 330-1312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle Mile Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
1102 Kresky Ave
Centralia, WA 98531
Phone (360) 330-1312
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.
-
- Chiropractor
- Centralia, WA
- NPI 1871620773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1740317825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HAM RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985315202",
"telephone_number": "360-330-1312",
"fax_number": "360-330-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 KRESKY AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985313732",
"telephone_number": "360-330-1312",
"fax_number": "360-330-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "KRISTINA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KRISTINA L MILLS DC L&I",
"identifier": "0165763",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8349722",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMC PTAN",
"identifier": "8869221",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KRISTINA PTAN",
"identifier": "8870107",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE RAILROAD",
"identifier": "DB2803",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I GROUP",
"identifier": "0165764",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.