Millennium Neonatology of Louisiana PLLC

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

MILLENNIUM NEONATOLOGY OF LOUISIANA PLLC

Practice address

1900 W Gauthier Rd
Lake Charles, LA 70605-7170

Phone

(855) 222-9637

NPI assigned

Feb 24, 2022

Organization subpart

Yes

Parent organization

MILLENNIUM MEDICAL GROUP PLLCAs reported in NPPES

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

Authorized official

Name

Emily Rattray

Title

Manager

Phone

(552) 229-6378

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811643232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20236",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777200236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W GAUTHIER RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057170",
            "telephone_number": "855-222-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM NEONATOLOGY OF LOUISIANA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLENNIUM MEDICAL GROUP PLLC",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RATTRAY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "552-229-6378"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Miller, FNP
• Avery Thomas Miller, CCC-SLP
• Broden Joseph Miller, DDS
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• Neonatal-Perinatal Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Neonatal-Perinatal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.