Individual provider Active NPI

Jacque C. Millar, NP-C

  • Family Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1104903459
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331886-1 Issued in NY
Practice address
840 Upper Front St
Occupational Health Clinical Center
Binghamton, NY 13905-1566
Phone
(607) 584-9990
Fax
(607) 584-9997
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F331886-1 NY Primary

Addresses

Primary practice location

840 Upper Front St
Occupational Health Clinical Center
Binghamton, NY 13905-1566

Mailing address

840 Upper Front St
Occupational Health Clinical Center
Binghamton, NY 13905-1566
Phone (607) 584-9990

Other names 1

  • Jacque C. Snover Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1104903459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 UPPER FRONT ST",
            "address_2": "OCCUPATIONAL HEALTH CLINICAL CENTER",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051566",
            "telephone_number": "607-584-9990",
            "fax_number": "607-584-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 UPPER FRONT ST",
            "address_2": "OCCUPATIONAL HEALTH CLINICAL CENTER",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051566",
            "telephone_number": "607-584-9990",
            "fax_number": "607-584-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "JACQUE",
        "middle_name": "C.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331886-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUE",
            "last_name": "SNOVER",
            "middle_name": "C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.