Connie Delorise McMillon-Thomas, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

1757422 Issued in FL

Practice address

519 Peach Tree LN
Altamonte Springs, FL 32701-2841

Phone

(407) 739-0816

NPI assigned

Nov 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1144734385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 PEACH TREE LN",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327012841",
            "telephone_number": "407-739-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 PEACH TREE LN",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327012841",
            "telephone_number": "407-739-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLON-THOMAS",
        "first_name": "CONNIE",
        "middle_name": "DELORISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "1757422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra McGowan
• Joshua McGowan, PT, DPT, MTC
• Curtis McGown, LMHC
• Wassim McHayleh, MD
• Carmella McLemore
• Michael Donald McPhee, MD
• Christopher McShan
• Sara Jane McShane, LMT
• Scott Allen McWilliams, BC-HIS
• Jessica Meadows, MA, BCBA

• General Practice Registered Nurse in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.