Teaira Geneva Milburn

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

3828 Lakewood PL
Waldorf, MD 20602-1429

Phone

(240) 925-9449

Fax

(240) 607-7229

NPI assigned

Aug 23, 2020

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diagnostic Lab of Southern Maryland

  • Health Service Clinic/Center
  • Waldorf, MD
  • NPI 1366158719
  NPD Authorized official
• Southern Maryland Mobile Lab Services LLC

  • Health Service Clinic/Center
  • Waldorf, MD
  • NPI 1740978576
  NPD Authorized official

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1851903512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 LAKEWOOD PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021429",
            "telephone_number": "124-092-5944",
            "fax_number": "240-607-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 LAKEWOOD PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206021429",
            "telephone_number": "240-925-9449",
            "fax_number": "240-607-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "TEAIRA",
        "middle_name": "GENEVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Greenberg,MD,PC
• Michael Owens DDS of Waldorf LLC
• Christine Micknick, M.A., CCC-SLP
• Mid Atlantic Medical Management , LLC
• Mid Atlantic Skin Surgery Institute
• Caitlyn Marie Miller, PTA
• Robert Elliot Miller, M.D.
• Lornette B Mills, MD
• Tiara Milstead
• Mind Rise ABA MD LLC

• Phlebotomy Technician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Phlebotomy Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.