Individual provider Active NPI

Terri Lee Mileham, CFNP

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1871578609
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP0390 Issued in AZ
Practice address
9050 W Union Hills Dr
Peoria, AZ 85382
Phone
(623) 255-8648
NPI assigned
Dec 14, 2005
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP0390 AZ Primary

Addresses

Primary practice location

9050 W Union Hills Dr
Peoria, AZ 85382

Mailing address

9050 W Union Hills Dr
Peoria, AZ 85382-3023
Phone (623) 255-8648

Other practice location 1

920 2nd Ave S
Ste 400
Minneapolis, MN 55402-3318
Phone (612) 225-1512

Other identifiers 2

IdentifierTypeStateIssuer
390OtherAZLICENSE
1174514756OtherAZGROUP NPI

Other names 1

  • Terri Lee Arnold-Mileham Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP0390AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1871578609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823023",
            "telephone_number": "623-255-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 W UNION HILLS DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-255-8648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 2nd Ave S",
            "address_2": "STE 400",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554023318",
            "country_code": "US",
            "telephone_number": "612-225-1512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILEHAM",
        "first_name": "TERRI",
        "middle_name": "LEE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP0390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "390",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1174514756",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "ARNOLD-MILEHAM",
            "middle_name": "LEE",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.