Sereth Marie Millis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

3195131 Issued in NY

Practice address

10 Anna St
Nyack, NY 10960-2402

Phone

(845) 661-4306

NPI assigned

Feb 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1922467042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ANNA ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602402",
            "telephone_number": "845-661-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ANNA ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602402",
            "telephone_number": "845-661-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIS",
        "first_name": "SERETH",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "3195131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Mergentime, LCSW
• Jonathan Meyer, LCSW
• Rebecca Meyerson, MS
• Linda Renee Michel, LPN
• Allison Blair Milch
• Heli Minano
• Minimally Invasive Foot & Ankle Specialist
• Julie Mirowicz, MA, CCC-SLP
• Frances Rose Modafferi Caglione, OTR
• Momentum Physical Therapy. P.C.

• Licensed Practical Nurse in Nyack, NY
• Providers in Nyack, NY by specialty
• Licensed Practical Nurse in New York

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

Verify at the official NPI Registry.