MRS. ANN RAQUEL MCMILLAN (NPI# 1780885954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780885954 |
| Entity Type | Individual |
| Full Name | MRS. ANN RAQUEL MCMILLAN |
| Credential | ATC |
| Practice Address |
510 Malachite Street Tyrone NM 88065 |
| Mailing Address |
510 Malachite Street Po Box 46 Tyrone NM 88061 |
| Practice Telephone | 5055381919 |
| Mailing Telephone | 5755381919 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2009-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629026612 | Ann Mcmillan | Registered Nurse | 812 E Jolly Rd, Ste 216, Lansing, MI 48910-6818 | 2006-05-04 |
| Street Address |
510 MALACHITE STREET |
| City | TYRONE |
| State | NM |
| Zip Code | 88065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578029906 | Deborah G Berry | Counselor | 131 Old Ranch Road, Tyrone, NM 88065 | 2019-02-11 |
| 1851819627 | Jesee Danielle Toms | Behavior Technician | 221 Bornite, Tyrone, NM 88065 | 2017-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689318 | Javaris Paggett | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-02 |
| 1790397164 | Lotus Center for Counseling and Wellness LLC | Counselor | 155 Newfield Dr, Tyrone, GA 30290-2570 | 2020-08-18 |
| 1619587631 | Ashaki Felix | Behavioral Analyst | 120 Millbrook Village Dr, Tyrone, GA 30290-3605 | 2020-08-04 |
| 1922617455 | Madison Scott Chase | Speech-Language Pathologist | 1130 Senoia Rd Ste A1, Tyrone, GA 30290-1640 | 2020-07-30 |
| 1770109175 | Jenna Elliott | Behavioral Analyst | 190 Handley Rd Ste C, Tyrone, GA 30290-2178 | 2020-06-22 |
| 1336765924 | Nexus Chiropractic LLC | Chiropractor | 120 Handley Rd Ste 220, Tyrone, GA 30290-2176 | 2020-06-19 |
| 1083237069 | Idrissatu Bah | Nurse Practitioner | 135 Delamere Pl, Tyrone, GA 30290-1729 | 2020-05-25 |
| 1952924128 | Pavel Rybin | Physician Assistant | 115 Laurel Forest Dr, Tyrone, GA 30290-1969 | 2020-05-22 |
| 1699396457 | Pmc Long Term Care, LLC | Internal Medicine | 190 Greencastle Rd # 2, Tyrone, GA 30290-2936 | 2020-05-04 |
| 1134759608 | Southside Aba LLC | Behavioral Analyst | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-01-23 |
| Find all providers in TYRONE | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023472271 | John Arthur Woolf | Specialist/Technologist | 62 Carriage Oaks Dr, Tyrone, GA 30290-1684 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312779 | Gabrielle Julia Atencio | Specialist/Technologist | 53 Road 3312, Aztec, NM 87410-9516 | 2020-10-05 |
| 1447867403 | Hayley Lucero | Specialist/Technologist | 2300 Diamond Mesa Trl Sw Apt 9702, Albuquerque, NM 87121-3723 | 2020-09-24 |
| 1770197709 | Tracy Murtha | Specialist/Technologist | 29 Teddy Bear Lane, Eagle Nest, NM 87718 | 2020-09-08 |
| 1881228815 | Richard Webster | Specialist/Technologist | 1315 Casady Dr, Alamogordo, NM 88310-5346 | 2020-02-28 |
| 1518504885 | Douglas Richard Spence | Specialist/Technologist | 2920 Leopoldo Rd Nw, Albuquerque, NM 87104-2728 | 2019-12-05 |
| 1265081285 | James Eagle | Specialist/Technologist | 21 Cougar Rdg, Santa Fe, NM 87505-8196 | 2019-09-11 |
| 1770136459 | Yangmi Kang | Specialist/Technologist | 825 S Telshor Blvd Apt 59, Las Cruces, NM 88011-4645 | 2019-07-22 |
| 1477105922 | Haden Gregory Maloney | Specialist/Technologist | 8 Riverview Cir, Roswell, NM 88201-9197 | 2019-07-15 |
| 1972155349 | Daisuke Shibata | Specialist/Technologist | 1 University of New Mexico # 42610, Albuquerque, NM 87131-0001 | 2019-07-15 |
| 1467917997 | Austin Frazier | Specialist/Technologist | 1181 Mall Dr Ste C, Las Cruces, NM 88011-8105 | 2019-02-08 |
| Find all providers with the same taxonomy | ||||
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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.