MRS. CAMME BECKERDITE MILLIS


Address: 1705 Gardner Dr, Wilmington, NC 28405-8873
Phone: 9103435300

MRS. CAMME BECKERDITE MILLIS (NPI# 1790103745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790103745
Entity Type Individual
Full Name MRS. CAMME BECKERDITE MILLIS
Credential LPN
Practice Address 1705 Gardner Dr
Wilmington
NC 28405-8873
Mailing Address 1531 Raynor Pl Ne
Leland
NC 28451-4082
Practice Telephone 9103435300
Mailing Telephone 9105204223
Enumeration Date 2014-04-06
Last Update Date 2014-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 47986 NC Nursing Service Providers

Office Location

Street Address 1705 GARDNER DR
City WILMINGTON
State NC
Zip Code 28405-8873

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104815927 Kevin Brady Podiatrist 1705 Gardner Dr, Wilmington, NC 28405 2005-10-14
1184230997 Laronda Via Physical Therapy Assistant 1705 Gardner Dr, Wilmington, NC 28405-8873 2020-09-17
1821511304 Colin Edward Simonelli Pharmacist 1705 Gardner Dr, Wilmington, NC 28405-8873 2017-07-17
1538511993 Samantha Price Optometrist 1705 Gardner Dr, Wilmington, NC 28405-8873 2016-07-11
1346605417 Sasha Coefield Digiovanni Dietitian, Registered 1705 Gardner Dr, Wilmington, NC 28405 2015-12-16
1235509449 Bridgette Marie Grant Social Worker 1705 Gardner Dr, Wilmington, NC 28405-8873 2015-09-30
1154799005 Melissa D Martinez Social Worker 1705 Gardner Dr, Wilmington, NC 28405-8873 2015-09-09
1114343670 Alison Duncklee Social Worker 1705 Gardner Dr, Wilmington, NC 28405-8873 2014-03-07
1285070649 Michael Richard Dearinger Physical Medicine & Rehabilitation 1705 Gardner Dr, Wilmington, NC 28405-8873 2013-05-13
1083966394 Christina Villwock Pharmacist 1705 Gardner Dr, Wilmington, NC 28405-8873 2012-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376155507 Evan Michael Vallee Dentist 5023 Market Street Wilmington, Wilmington, NC 28405 2020-08-19
1447725098 Addictioncare 101 Psychiatry & Neurology 311 4 E Judges Road, Wilmington, NC 28405 2018-10-10
1659861649 Brianna Jane Gausman Physical Therapist 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 2018-05-15
1205346756 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 6427a Windmill Way, Wilmington, NC 28405 2017-10-10
1710345400 Martha Arielle Walker Physician Assistant 6727 Parker Farm Dr, Wilmington, NC 28405 2016-02-09
1033549910 Christine Urban Bruin Psychologist 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 2013-11-14
1487083358 Aci Support Specialists Day Training, Developmentally Disabled Services 117 Spartan Road, Wilmington, NC 28405 2013-11-01
1487902334 Carolina Vision Associates, Od, Pa Optometrist 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 2012-08-27
1568718328 Cameron Nichole Ford Occupational Therapy Assistant 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 2012-07-31
1881959534 Ashley Brennen Cook Speech-Language Pathologist 4613 Trafalgar Rd, Wilmington, NC 28405 2012-07-09
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053956433 Monica Fay Morrison Licensed Practical Nurse 2907 S State Route 134 Lot 305, Wilmington, OH 45177-9711 2019-11-09
1952951063 Erin E Welch Licensed Practical Nurse 42 Cottage St, Wilmington, MA 01887-2002 2019-09-19
1053766626 Michele Thompson Licensed Practical Nurse 12 Hemlock Pl, Wilmington, DE 19810-1920 2016-05-02
1154791606 Jessica L Mcmahon Licensed Practical Nurse 2113 Naamans Rd, Wilmington, DE 19810-1326 2015-09-28
1871999540 Alicia Rheel Licensed Practical Nurse 6339 Carolina Beach Rd, Wilmington, NC 28412-2907 2014-11-07
1902234636 Miranda Louise Ward Licensed Practical Nurse 849 Springfield Rd, Apt B, Wilmington, NY 12997-2300 2013-10-15
1104179845 David Allen Kerns Licensed Practical Nurse 5598 N State Route 134, Wilmington, OH 45177-8844 2012-10-18
1144513193 Lorina Dryden Licensed Practical Nurse 117 Rodman St, Wilmington, DE 19805-3320 2011-05-24
1023301132 Serina Cannon Licensed Practical Nurse 2307 N Harrison St Apt 17, Wilmington, DE 19802-3363 2011-05-23
1487957833 Melissa Carolyne Miner Licensed Practical Nurse 1213 Ogden Rd, Wilmington, OH 45177-9588 2010-12-07
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Competitor

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City WILMINGTON
Zip Code 28405

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Dataset Information

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.

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