Camme Beckerdite Millis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

47986 Issued in NC

Practice address

1705 Gardner Dr
Wilmington, NC 28405-8873

Phone

(910) 343-5300

NPI assigned

Apr 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396742400000",
    "number": "1790103745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 RAYNOR PL NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514082",
            "telephone_number": "910-520-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 GARDNER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058873",
            "telephone_number": "910-343-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIS",
        "first_name": "CAMME",
        "middle_name": "BECKERDITE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2014-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "47986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn William Miller
• Theresa Kiernan Miller, OTR/CHT
• Laris Wayne Milligan, D.M.D., M.S.
• Bridget Dixon Milliken, LCMHC, LCASA
• McCall Milliken
• Luke Mills
• Makayla Jessica Bowling Mills, MSW
• Mims Manor LLC
• Lesley Marie Mims, B.A.
• Mind Haven Mental Health PLLC

• Licensed Practical Nurse in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2014; 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.