KELLY MACMILLAN (NPI# 1477165835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477165835 |
| Entity Type | Individual |
| Full Name | KELLY MACMILLAN |
| Practice Address |
4875 Emerson Rd Canandaigua NY 14424-8022 |
| Practice Telephone | 4124170249 |
| Mailing Telephone | 4124170249 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
674991-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114903630 | Kelly Macmillan | Obstetrics & Gynecology | 168 Kinsley St Ste 20, Nashua, NH 03060-3634 | 2005-12-16 |
| Street Address |
4875 EMERSON RD |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-8022 |
| 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 | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750793089 | Jan J Thompson | Registered Nurse | 1888 County Road 28, Canandaigua, NY 14424-8080 | 2014-05-21 |
| 1457762239 | Courtney Phillips | Registered Nurse | 350 Parrish St, Canandaigua, NY 14424-1731 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331538 | Snow Verdean Harper-moulton | Registered Nurse | 428 County Route 37, Massena, NY 13662-3362 | 2020-09-21 |
| 1457966426 | Aimee Sherene Woodhouse | Registered Nurse | 685 Bay Rd, Queensbury, NY 12804-1446 | 2020-09-15 |
| 1356953798 | Living Hope Lactation Services | Registered Nurse | 910 North Goodman Street Ste 1, Rochester, NY 14609-1460 | 2020-08-18 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1487274585 | Renee Aviv | Registered Nurse | 2475 38th St Apt 2a, Astoria, NY 11103-4113 | 2020-04-20 |
| 1033739099 | Meghan Louise Manangon | Registered Nurse | 196 Clinton Ave Apt D34, Brooklyn, NY 11205-3417 | 2020-04-20 |
| 1235765132 | Yelizaveta Rukhlova | Registered Nurse | 100 Colfax Ave Apt 6l, Staten Island, NY 10306-3332 | 2020-03-23 |
| 1194359448 | Sheri Fitzpatrick | Registered Nurse | 65 Moison Rd N, Blauvelt, NY 10913-1414 | 2020-02-26 |
| 1952932170 | Jennifer A Whitt | Registered Nurse | 1714 Lovell Ter, Elmira, NY 14905-1235 | 2020-01-27 |
| 1235769597 | Karen Lynn Hylton-mcguire | Registered Nurse | 66 Hollywood Ave, Lynbrook, NY 11563-3937 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
Please comment or provide details below to improve the information on KELLY MACMILLAN.
| 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.