Active NPI
Deidedre Lynn Mills
- Student in an Organized Health Care Education/Training Program
- Denver, CO
National Provider Identifier
1902256662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 39
- Practice address
- 550 Alton Way
Apt 2113
Denver, CO 80230-6144 - Phone
- (720) 327-5189
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 390200000 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 39 | CO | Primary |
Addresses
Primary practice location
550 Alton Way
Apt 2113
Denver, CO 80230-6144
Mailing address
550 Alton Way
Apt 2113
Denver, CO 80230-6144
Phone (720) 327-5189
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
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000 | CO | MD | School Counselor |
| 39 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1902256662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 ALTON WAY",
"address_2": "APT 2113",
"city": "DENVER",
"state": "CO",
"postal_code": "802306144",
"telephone_number": "720-327-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 ALTON WAY",
"address_2": "APT 2113",
"city": "DENVER",
"state": "CO",
"postal_code": "802306144",
"telephone_number": "720-327-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "DEIDEDRE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CO",
"license": "390200000",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.