Nursing Infusion Centers of America a Professional Nursing Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

NURSING INFUSION CENTERS OF AMERICA A PROFESSIONAL NURSING CORPORATION

Practice address

4254 Green River Rd
Corona, CA 92878-3869

Phone

(866) 936-0550

Fax

(866) 936-5079

NPI assigned

Aug 7, 2023

Last updated

Aug 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenya Dion Mills, FNP-CNPI 1518642743

Title

President

Phone

(866) 936-0550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenya Mills, FNP-C

  • Family Nurse Practitioner
  • Corona, CA
  • NPI 1518642743
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1891478954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 GREEN RIVER RD STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783869",
            "telephone_number": "866-936-0550",
            "fax_number": "866-936-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 GREEN RIVER RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783869",
            "telephone_number": "866-936-0550",
            "fax_number": "866-936-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING INFUSION CENTERS OF AMERICA A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "DION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-936-0550",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.