PHYLLIS A MILBURN (NPI# 1164776563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164776563 |
| Entity Type | Individual |
| Full Name | PHYLLIS A MILBURN |
| Credential | APRN |
| Practice Address |
496 Southland Dr Lexington KY 40503-1827 |
| Practice Telephone | (859) 288-2425 |
| Practice Fax Number | 8592887510 |
| Mailing Telephone | 8592882392 |
| Mailing Fax Number | 8597213918 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
00220316 | KY | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3011435 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1790731081 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1351 Newtown Pike, Lexington, KY 405111275 | 8592531686 |
| Street Address |
496 SOUTHLAND DR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467445056 | Shelagh Marie Cassidy | Social Worker | 496 Southland Dr, Lexington, KY 40503-1827 | 2005-08-30 |
| 1871108100 | Kayla Putton Bowling | Nurse Practitioner | 496 Southland Dr, Lexington, KY 40503-1827 | 2020-09-14 |
| 1023580834 | Meagan Gee | Social Worker | 496 Southland Dr, Lexington, KY 40503-1827 | 2018-12-19 |
| 1558899799 | Christopher Casterline | Dentist | 496 Southland Dr, Lexington, KY 40503 | 2017-06-01 |
| 1548798309 | Lindsey Elora Mcalpine | Nurse Practitioner | 496 Southland Dr, Lexington, KY 40503 | 2017-05-24 |
| 1861840795 | Healthfirst Bluegrass Inc | Clinic/Center | 496 Southland Dr, Lexington, KY 40503-1827 | 2016-06-01 |
| 1235509761 | Lauren Bauer | Nurse Practitioner | 496 Southland Dr, Lexington, KY 40503-1827 | 2015-09-27 |
| 1588031397 | Katherine Taylor Bentsen | Social Worker | 496 Southland Dr, Lexington, KY 40503 | 2015-08-27 |
| 1285017327 | Jeffrey R Kovarik | Dentist | 496 Southland Dr, Lexington, KY 40503-1827 | 2015-07-07 |
| 1235522475 | Victoria Nash | Nurse Practitioner | 496 Southland Dr, Lexington, KY 40503 | 2015-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
| 1821612615 | Hannah Olivia Robidoux | Nurse Practitioner | 109 Montelena Dr, Lexington, SC 29072-6911 | 2020-06-08 |
| 1831722115 | Free To Be Mental Health Services, LLC | Nurse Practitioner | 2035 Regency Rd Ste 8, Lexington, KY 40503-2333 | 2020-02-15 |
| 1265075238 | Colleen Turner | Nurse Practitioner | 3150 Custer Dr Ste 201, Lexington, KY 40517-4010 | 2019-10-23 |
| 1124672126 | Sheila Young Steinbrenner | Nurse Practitioner | 238 Rosemont Gdn, Lexington, KY 40503-1845 | 2019-07-29 |
| 1194207910 | Ljks | Nurse Practitioner | 1301 Winchester Rd Ste 147, Lexington, KY 40505-4179 | 2018-08-29 |
| 1881172823 | Kayla Kouns | Nurse Practitioner | 1030 Monarch Street Suite 100, Lexington, KY 40513-1820 | 2018-08-01 |
| 1033601992 | Davika Mattox Pmhnp Recovery and Wellness Behavioral Health | Nurse Practitioner | 3208 Polo Club Blvd, Lexington, KY 40509-8454 | 2018-06-05 |
| 1265935159 | Holly Melissa Lewis | Nurse Practitioner | 4766 Sunset Blvd Ste A, Lexington, SC 29072-9252 | 2018-03-16 |
| 1225546690 | Latoya Bo'nee Lee | Nurse Practitioner | 161 Prosperous Pl Ste 100, Lexington, KY 40509-1898 | 2018-01-18 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.