Active NPI
Lynn Marie McMillan, NP-BC
- Nurse Practitioner
- Midvale, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 268113-4405
- Practice address
- 1225 Fort Union Blvd
Suite 200
Midvale, UT 84047-1889 - Phone
- (801) 233-4400
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 268113-4405 | UT | Primary |
Addresses
Primary practice location
1225 Fort Union Blvd
Suite 200
Midvale, UT 84047-1889
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 442-4950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268113-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
1316 N Highway 89
Farmington, UT 84025
Phone (801) 447-3361
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1170 E Gentile St
Layton, UT 84040
Phone (801) 546-3497
980 E Fort Union Blvd
Midvale, UT 84047
Phone (801) 256-0532
5801 S Fashion Blvd
Murray, UT 84107
Phone (801) 314-4185
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Dixie Regional Sleep Disorders Center
- Multi-Specialty Clinic/Center
- St George, UT
- NPI 1447486071
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1053457085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-442-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 FORT UNION BLVD",
"address_2": "SUITE 200",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471889",
"telephone_number": "801-233-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "LYNN",
"middle_name": "MARIE",
"credential": "NP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "268113-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.