Individual provider Active NPI

Naesha Millwood

  • Contractor
  • Havertown, PA
National Provider Identifier
1902151145
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
120 Upland Rd
Havertown, PA 19083
Phone
(484) 620-3563
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

120 Upland Rd
Havertown, PA 19083

Mailing address

120 Upland Rd
Havertown, PA 19083
Phone (800) 434-4686

Other practice location 1

1780 kendarbren drive
jamison, PA 18929
Phone (800) 434-4686

Other practice location 2

1780 kendarbren drive
jamison, PA 18929
Phone (800) 434-4686

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elle & Me Developmental and Behvavioral Serives Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902151145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 UPLAND RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "800-434-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 UPLAND RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "484-620-3563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 kendarbren drive",
            "address_purpose": "LOCATION",
            "city": "jamison",
            "state": "PA",
            "postal_code": "18929",
            "country_code": "US",
            "telephone_number": "800-434-4686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1780 kendarbren drive",
            "address_purpose": "LOCATION",
            "city": "jamison",
            "state": "PA",
            "postal_code": "18929",
            "country_code": "US",
            "telephone_number": "800-434-4686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLWOOD",
        "first_name": "NAESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.