KATIE MCMILLEN (NPI# 1003331851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003331851 |
| Entity Type | Individual |
| Full Name | KATIE MCMILLEN |
| Credential | PA |
| Practice Address |
495 N Main St Canandaigua NY 14424-1283 |
| Mailing Address |
6470 Waterburg Rd Trumansburg NY 14886-9704 |
| Practice Telephone | 5853933515 |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2017-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 021158 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214278 | Katie Mary Mcmillen | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2017-06-08 |
| 1366653073 | Katie Mcmillen | Pharmacist | 200 Lothrop St, Pharmacy Department, Pittsburgh, PA 15213-2536 | 2007-05-24 |
| Street Address |
495 N MAIN ST |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-1283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619919206 | Laurel A Dallmeyer | Family Medicine | 495 N Main St, Canandaigua, NY 14424-1283 | 2006-06-11 |
| 1124588660 | Caitlin L Tillack | Nurse Practitioner | 495 N Main St, Canandaigua, NY 14424-1283 | 2019-03-21 |
| 1558560995 | Kimberly Jo Tuttle | Physician Assistant | 495 N Main St, Canandaigua, NY 14424-1283 | 2007-07-16 |
| 1528281599 | Farmington Family Practice PC | Family Medicine | 495 N Main St, Canandaigua, NY 14424-1283 | 2007-04-10 |
| 1730284001 | Nancy M Allison | Nurse Practitioner | 495 N Main St, Farmington Family Practice, Canandaigua, NY 14424-1283 | 2006-09-13 |
| 1972548923 | Ruth C Sheehan | Nurse Practitioner | 495 N Main St, Canandaigua, NY 14424-1283 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225559511 | Ashley E Leubner | Family Medicine | 3170 West St Ste 100, Canandaigua, NY 14424-1712 | 2017-06-28 |
| 1538422076 | Bryan Sandler | Family Medicine | 3170 West St Ste 222, Canandaigua, NY 14424-1786 | 2012-06-20 |
| 1811223308 | Susan Mary Sharza | Family Medicine | 3170 West Street, Suite 222, Canandaigua, NY 14424 | 2009-10-19 |
| 1760605745 | James P Fennelly | Family Medicine | 231 Parrish St, Canandaigua, NY 14424-1727 | 2007-04-10 |
| 1669583779 | Robert L.ynn Smith | Family Medicine | 23 North Street, Suite 5, Canandaigua, NY 14424 | 2006-08-31 |
| 1144339649 | Medsmith Medical PC | Family Medicine | 241 Parrish St, Suite B, Canandaigua, NY 14424-1727 | 2006-08-29 |
| 1619919206 | Laurel A Dallmeyer | Family Medicine | 495 N Main St, Canandaigua, NY 14424-1283 | 2006-06-11 |
| 1700827375 | Kerry Widdersheim Graff | Family Medicine | 502 S Main St, Lake Country Family Medicine, Canandaigua, NY 14424-2242 | 2006-06-08 |
| 1932167046 | John Joseph D'amore | Family Medicine | 198 Parrish St, Canandaigua, NY 14424-1729 | 2006-05-01 |
| 1497018139 | Jennifer Marie Albrecht | Family Medicine | 401 S Main St, Canandaigua, NY 14424 | 2012-06-18 |
| Find all providers in CANANDAIGUA | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
Please comment or provide details below to improve the information on KATIE MCMILLEN.
| 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.