Raymond a Millette

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95000636 Issued in OR

Legal business name

RAYMOND A MILLETTE

Doing business as

Millette Family Medicine

Practice address

1014 NE 7TH St
Grants Pass, OR 97526-1420

Phone

(541) 471-9022

Fax

(541) 471-9055

NPI assigned

Nov 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary K Taylor

Title

Office Manager

Phone

(541) 471-9022

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• Millette Family Medicine Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mason Clarke Harrison, F.N.P.

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1356355846
  NPD (past)
• Tammy Lowe, FNP

  • Nurse Practitioner
  • Grants Pass, OR
  • NPI 1578562997
  NPD (past)
• Melanie M Olsrud, FNP

  • Family Nurse Practitioner
  • Grants Pass, OR
  • NPI 1841298320
  NPD (past)
• Thomas Jason Trubenbach, F.N.P.

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1396759916
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1053483057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261420",
            "telephone_number": "541-471-9022",
            "fax_number": "541-471-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261420",
            "telephone_number": "541-471-9022",
            "fax_number": "541-471-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND A MILLETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-471-9022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "95000636",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200550153",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200550156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292050",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026845",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00655554",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297670",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00641991",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272449",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millette Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Faith Rastellini
• Kara Rawlings
• Grant Clement Rawlins, PHD
• Trina Clifford Rawson
• David Michael Ray, FNP
• Marci Michelle Raymond, RDN
• Courtney Rayppy, RD
• Forest F Rea, DDS
• Henry N Read, PA
• Readyride Service, Inc.

• Family Nurse Practitioner in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.