NPIMap

Organization Active NPI

E.D. Mills, PLLC

Doing business as Owensboro Family Wellness

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1972140911
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
E.D. MILLS, PLLC
Doing business as
Owensboro Family Wellness
Practice address
722 W Byers Ave
Owensboro, KY 42303-6330
Phone
(270) 478-5040
NPI assigned
Dec 10, 2019
Last updated
Jan 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Ernest Daniel Mills, ARNPNPI 1568171643
Title
Owner
Phone
(270) 478-5040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

722 W Byers Ave
Owensboro, KY 42303-6330

Mailing address

722 W Byers Ave
Owensboro, KY 42303-6330
Phone (270) 478-5040

Other identifiers 1

IdentifierTypeStateIssuer
7100655250MedicaidKY

Other names 1

  • Owensboro Family Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

722 W Byers Ave
Owensboro, KY 42303
Phone (270) 478-5040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20445/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1972140911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W BYERS AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036330",
            "telephone_number": "270-478-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W BYERS AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036330",
            "telephone_number": "270-478-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.D. MILLS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-478-5040",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100655250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owensboro Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owensboro Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.