Individual provider Active NPI

Yvonne Marie Millerton

  • Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1881823813
Registry record updated Jul 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2003025154 Issued in MO
Practice address
2017 Ottkamp Dr
Saint Louis, MO 63136-4440
Phone
(314) 393-8311
NPI assigned
Jul 12, 2009
Last updated
Jul 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2003025154 MO Primary
Registered Nurse 163W00000X 673569 CA
Registered Nurse 163W00000X 302094 OH

Addresses

Primary practice location

2017 Ottkamp Dr
Saint Louis, MO 63136-4440

Mailing address

2017 Ottkamp Dr
Saint Louis, MO 63136-4440
Phone (314) 393-8311

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

LicenseStateTypeSpecialty
673569CAMDRegistered Nurse
2003025154MOMDRegistered Nurse
302094OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247356800000",
    "number": "1881823813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 OTTKAMP DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364440",
            "telephone_number": "314-393-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 OTTKAMP DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364440",
            "telephone_number": "314-393-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLERTON",
        "first_name": "YVONNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-12",
        "last_updated": "2009-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2003025154",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "673569",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "302094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2009; 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.