Individual provider Active NPI

Barbara P Macmillan, RN

  • Diabetes Educator Registered Nurse
  • Albuquerque, NM
National Provider Identifier
1124179338
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
R46430 Issued in NM
Practice address
1650 University Blvd NE
Patient Education Suite 505
Albuquerque, NM 87102-1726
Phone
(505) 272-3038
Fax
(505) 272-6591
NPI assigned
Jan 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X R46430 NM Primary

Addresses

Primary practice location

1650 University Blvd NE
Patient Education Suite 505
Albuquerque, NM 87102-1726

Mailing address

6382 Roadrunner Loop NE
Rio Rancho, NM 87144-5150
Phone (505) 994-4823

Other identifiers 1

IdentifierTypeStateIssuer
R46430OtherNMNURSING LICENSE

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R46430NMMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124179338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6382 ROADRUNNER LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445150",
            "telephone_number": "505-994-4823",
            "fax_number": "505-994-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 UNIVERSITY BLVD NE",
            "address_2": "PATIENT EDUCATION SUITE 505",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021726",
            "telephone_number": "505-272-3038",
            "fax_number": "505-272-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "BARBARA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NM",
            "license": "R46430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "R46430",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.