Active NPI
Priscilla Inez Watson-Mills, CNA
- Nurse's Aide
- Gaston, SC
National Provider Identifier
1831535814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 109586E
- Practice address
- 130 Big Shot LN
Gaston, SC 29053-8216 - Phone
- (803) 457-1789
- NPI assigned
- May 16, 2013
- Last updated
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | NU | ||
| Personal Care Attendant | 3747P1801X | NU | ||
| Home Health Aide | 374U00000X | NU | ||
| Homemaker | 376J00000X | NU | ||
| Nurse's Aide | 376K00000X | 109586E | SC | Primary |
Addresses
Primary practice location
130 Big Shot LN
Gaston, SC 29053-8216
Mailing address
130 Big Shot LN
Gaston, SC 29053-8216
Phone (803) 457-1789
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 |
|---|---|---|---|
| 109586E | SC | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Ministries IHS LLC | Personal Care Attendant | Current | Accepting new patients |
| New Hope Ministries Home Health Servicces | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Gaston, SC
- NPI 1962892281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1831535814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 BIG SHOT LN",
"city": "GASTON",
"state": "SC",
"postal_code": "290538216",
"telephone_number": "803-457-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 BIG SHOT LN",
"city": "GASTON",
"state": "SC",
"postal_code": "290538216",
"telephone_number": "803-457-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON-MILLS",
"first_name": "PRISCILLA",
"middle_name": "INEZ",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "SC",
"license": "109586E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.