ALICIA MEBANE MCMILLAN (NPI# 1255940706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255940706 |
| Entity Type | Individual |
| Full Name | ALICIA MEBANE MCMILLAN |
| Practice Address |
508 Fulton St Durham NC 27705-3875 |
| Mailing Address |
Po Box 307 Mebane NC 27302-0307 |
| Practice Telephone | 9192860411 |
| Mailing Telephone | 3362136477 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AG02200105 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952566 | Alicia Wynett Mcmillan | Pharmacist | 2399 N Point Blvd, Dundalk, MD 21222-1623 | 2020-11-04 |
| Street Address |
508 FULTON ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217086 | Stuart Hall Manning | Internal Medicine | 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 | 2005-07-06 |
| 1245839083 | Jessica Elizabeth Cornett | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1043819808 | Rebecca Parker Maccioli | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1174122055 | Aline Xayasouk | Occupational Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-21 |
| 1730786187 | Kathryn Masincupp | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-07 |
| 1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
| 1144833716 | Phillip Charles Tampis | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-24 |
| 1164033445 | Alexandra Demascole | Social Worker | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-11 |
| 1386254498 | Krishna Rana | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
| 1730799842 | Jinah Han | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699244525 | Elizabeth Devore | Nurse Practitioner | 40 Duke Medicine Circle Clinic Il, Durham, NC 27710-0001 | 2018-11-20 |
| 1649677931 | Laura Ann Lewis | Nurse Practitioner | Dumc 3118 466 G Seeley Mudd Building, Durham, NC 27710-0001 | 2014-12-02 |
| 1083223879 | Stanisha Natrice Williams | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-07-28 |
| 1770132896 | Michael Anthony Moore | Nurse Practitioner | 508 Fulton St, Attn Dr. Campbell. Va Gnp Program, Durham, NC 27705-3875 | 2019-09-11 |
| 1447722301 | Jessica H. Steiner | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2018-12-17 |
| 1568930196 | Kathryn Hord | Nurse Practitioner | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2018-11-13 |
| 1104308360 | Jacqueline Wait | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2018-09-04 |
| 1750881983 | Launiece D Newton | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2018-02-14 |
| 1932619350 | Afua Adutwumwaa Antwi | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2017-10-11 |
| 1588112908 | Casey Vinett | Nurse Practitioner | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2016-09-14 |
| Find all providers in DURHAM | ||||
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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.