Lacye Jean Mills, BSN, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

R46793 Issued in NM

Practice address

224 West D. L. Ingram Avenue, BLDG 1408
Cannon Afb, NM 88103

Phone

(575) 784-2778

Fax

(575) 784-2308

NPI assigned

Sep 23, 2024

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1922825819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WEST D. L. INGRAM AVENUE, BLDG 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "575-784-2778",
            "fax_number": "575-784-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WEST D. L. INGRAM AVENUE, BLDG 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "575-784-2778",
            "fax_number": "575-784-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LACYE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NM",
            "license": "R46793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward McMillan
• Randy C Michael, DO
• Marcia Marie Middel, PH.D.
• Katherine Milam, D.O.
• Paul Joseph Milazzo, M.S.W.
• Joshua Morales
• Sang Ngo
• Thien H Nguyen, PHARM.D.
• Matthew John Nielsen, D.D.S.
• Jason P Nolz, O.D.

• Pediatric Registered Nurse in Cannon Afb, NM
• Providers in Cannon Afb, NM by specialty
• Pediatric Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.