Individual provider Active NPI

Kimberly Milaney, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1740687466
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5999 Issued in CT
Practice address
44 Outlook Ave
West Hartford, CT 06119-1431
Phone
(860) 840-3878
Fax
(860) 840-3878
NPI assigned
Nov 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5999 CT Primary

Addresses

Primary practice location

44 Outlook Ave
West Hartford, CT 06119-1431

Mailing address

44 Outlook Ave
West Hartford, CT 06119-1431
Phone (860) 840-3878

Other identifiers 1

IdentifierTypeStateIssuer
13579906OtherCTCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141219000512 CT Practitioner - Nurse Practitioner 8224351432 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5999CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
United Services Inc CurrentSince Oct 9, 2018 Accepting new patients
WCT Behavioral Health & Medication Management PLLC CurrentSince Nov 15, 2023 Accepting new patients
Community Renewal Team, Inc. CurrentSince Feb 7, 2018 Accepting new patients
Thrive Behavioral Health PLLC Psychiatric/Mental Health CurrentSince Jul 7, 2024 Accepting new patients
Connecticut Mental Health Specialists Inc Psychiatric/Mental Health CurrentSince Feb 1, 2023 Accepting new patients
Urologic Associates, PC PastSince Aug 4, 2015 Accepting new patients
Prohealth Physicians PC PastSince Apr 13, 2022 Accepting new patients

Locations

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

555 Windsor St
Hartford, CT 06120
Phone (860) 560-5600

330 Market St
Hartford, CT 06120
Phone (860) 761-7900

211 Schraffts Dr
Lowr
Waterbury, CT 06705
Phone (203) 518-8218

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1740687466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 OUTLOOK AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191431",
            "telephone_number": "860-840-3878",
            "fax_number": "860-840-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OUTLOOK AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191431",
            "telephone_number": "860-840-3878",
            "fax_number": "860-840-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANEY",
        "first_name": "KIMBERLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13579906",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.