Betty Temples Mill, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024110321 Issued in VA

Practice address

51 William B Graham CT
Kilmarnock, VA 22482-3852

Phone

(804) 435-0575

Fax

(804) 435-9017

NPI assigned

Jul 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Northern Neck Free Health Clinic

  • Community Health Clinic/Center
  • Kilmarnock, VA
  • NPI 1275790412
  NPD (past)
• The Northern Neck-Middlesex Free Health Clinic, Inc.

  • Primary Care Clinic/Center
  • Kilmarnock, VA
  • NPI 1053520098
  NPD (past)

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1750669537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1694",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224821694",
            "telephone_number": "804-435-0575",
            "fax_number": "804-435-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WILLIAM B GRAHAM CT",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823852",
            "telephone_number": "804-435-0575",
            "fax_number": "804-435-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILL",
        "first_name": "BETTY",
        "middle_name": "TEMPLES",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024110321",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024110321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles G Maresh, MD
• James A McCoig, MD
• William McConahey III, M.D.
• Kevin J McGrath, MD
• Megan McMahon
• Jennifer Sue Miller, RD
• Patricia Kathleen Monge-Meberg, MD
• Olivia Mothershead, PHARMD
• David Alan Newman, DMD
• Michael David Nickerson Sr., DDS

• Adult Health Nurse Practitioner in Kilmarnock, VA
• Providers in Kilmarnock, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.