Active NPI
Nicole Lee Milholland
- Massage Therapist
- Sandwich, IL
National Provider Identifier
1740855451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227.001016
- Practice address
- 1310 N Main St
Sandwich, IL 60548-1394 - Phone
- (815) 786-8550
- NPI assigned
- May 25, 2021
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227.001016 | IL | Primary |
Addresses
Primary practice location
1310 N Main St
Sandwich, IL 60548-1394
Mailing address
2723 N 3853Rd Rd
Sheridan, IL 60551-9568
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicole.milholland@nm.org | Direct |
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 |
|---|---|---|---|
| 227.001016 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1740855451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2723 N 3853RD RD",
"city": "SHERIDAN",
"state": "IL",
"postal_code": "605519568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 N MAIN ST",
"city": "SANDWICH",
"state": "IL",
"postal_code": "605481394",
"telephone_number": "815-786-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILHOLLAND",
"first_name": "NICOLE",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227.001016",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicole.milholland@nm.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1310 N Main St",
"city": "Sandwich",
"state": "IL",
"country_code": "US",
"postal_code": "605481394",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sandwich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.