Active NPI
Makayla M Mills
- Driver
- St Petersburg, FL
National Provider Identifier
1841865946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- IDBW08
- Practice address
- 6272 12TH St S
Saint Petersburg, FL 33705-5651 - Phone
- (727) 365-2366
- NPI assigned
- May 21, 2021
- Last updated
- May 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | IDBW08 | FL | Primary |
Addresses
Primary practice location
6272 12TH St S
Saint Petersburg, FL 33705-5651
Mailing address
6272 12TH St S
Saint Petersburg, FL 33705-5651
Phone (727) 365-2366
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 |
|---|---|---|---|
| IDBW08 | FL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1841865946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6272 12TH ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337055651",
"telephone_number": "727-365-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6272 12TH ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337055651",
"telephone_number": "727-365-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "MAKAYLA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "IDBW08",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.