Tara Milligan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08594 Issued in TX

Practice address

908 W Terrell Ave N
Ft Worth, TX 76104-3034

Phone

(817) 820-0427

NPI assigned

Feb 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: tara.milligan.1@18357.direct.athenahealth.com

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1790109759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN",
            "address_2": "SUITE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314350",
            "telephone_number": "817-820-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W TERRELL AVE N",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043034",
            "telephone_number": "817-820-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "TARA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA08594",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily K Millican, LCSW
• Jamie Millican, PHARMD
• Tristan D-an Millican, PHARMD
• Madison Milligan
• Mallory Milligan
• Cynthia Millikan, M.ED., CCC-SLP
• Michael Colin Milliken, MD
• Emily Duggan Mills Michero, LPC
• Alycia Rheannon Mills
• Amy C Mills, RD

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.