Individual provider Active NPI

Royce York McMillion

  • Peer Specialist
  • Enid, OK
National Provider Identifier
1134736127
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
H080754051 Issued in OK
Practice address
1824 S Van Buren St
Enid, OK 73703-7903
Phone
(580) 747-5777
NPI assigned
Sep 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X H080754051 OK Primary

Addresses

Primary practice location

1824 S Van Buren St
Enid, OK 73703-7903

Mailing address

1824 S Van Buren St
Enid, OK 73703-7903
Phone (580) 747-5777

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mcmillionroyce35@gmail.com Other

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

State licenses

LicenseStateTypeSpecialty
H080754051OKMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1134736127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 S VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737037903",
            "telephone_number": "580-747-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 S VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737037903",
            "telephone_number": "580-747-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLION",
        "first_name": "ROYCE",
        "middle_name": "YORK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": "H080754051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mcmillionroyce35@gmail.com",
            "affiliation": "N",
            "endpointDescription": "NPI Number",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1816 Comanche Trl",
            "city": "Enid",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737036819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.