Individual provider Active NPI

Loretta Mills, REGISTERED NURSE, BS

  • General Practice Registered Nurse
  • Melbourne, FL
National Provider Identifier
1962568204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN2767692 Issued in FL
Practice address
2001 Adirondack Cir
Melbourne, FL 32935-3375
Phone
(321) 794-4040
Fax
(321) 757-3209
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN2767692 FL Primary

Addresses

Primary practice location

2001 Adirondack Cir
Melbourne, FL 32935-3375

Mailing address

2001 Adirondack Cir
Melbourne, FL 32935-3375
Phone (321) 794-4040

Other names 1

  • Loretta Mills Professional name

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
RN2767692FLMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962568204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ADIRONDACK CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353375",
            "telephone_number": "321-794-4040",
            "fax_number": "321-757-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ADIRONDACK CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353375",
            "telephone_number": "321-794-4040",
            "fax_number": "321-757-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LORETTA",
        "credential": "REGISTERED NURSE, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN2767692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORETTA",
            "last_name": "MILLS",
            "credential": "REGISTERED NURSE, BS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.