Mary McMillin, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

271697 Issued in AZ

Practice address

11000 N Scottsdale Rd Ste 160
Scottsdale, AZ 85254-5269

Phone

(623) 401-7546

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1104570043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 N VIA CAMELLO DEL NORTE UNIT 176",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583645",
            "telephone_number": "602-999-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545269",
            "telephone_number": "623-401-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "MARY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN109461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80957-071",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "271697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Ellis McMahon, L.P.C.
• Lauren McMahon, DPT
• Kendal Brianne McMakin, CRNA
• John C. McMichan, MBBS, PHD
• Rachel McMillan, DPT, PT
• Jordyn McMinn, LPC
• Kimberly Michelle McMullen, CRNA
• Taylor McMullen, O.D.
• Marcia L McMurtrey
• Constance Marie McNamara

• All providers in Scottsdale, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.