KELLY MACMILLAN


Address: 4875 Emerson Rd, Canandaigua, NY 14424-8022
Phone: 4124170249

KELLY MACMILLAN (NPI# 1477165835) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
674991-1 NY Nursing Service Providers

Other Providers KELLY MACMILLAN

NPI Name Taxonomy Address Enumeration
1114903630 Kelly Macmillan Obstetrics & Gynecology 168 Kinsley St Ste 20, Nashua, NH 03060-3634 2005-12-16

Office Location

Street Address 4875 EMERSON RD
City CANANDAIGUA
State NY
Zip Code 14424-8022

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CANANDAIGUA
Zip Code 14424

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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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