Active NPI
Alison F Macmillan, MD
- Family Medicine Physician
- Centralia, WA
National Provider Identifier
1164837464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60675915
- Practice address
- 1010 S Scheuber Rd Ste 3&4
Centralia, WA 98531-8892 - Phone
- (360) 827-7966
- Fax
- (360) 827-7977
- NPI assigned
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60675915 | WA | Primary |
Addresses
Primary practice location
1010 S Scheuber Rd Ste 3&4
Centralia, WA 98531-8892
Mailing address
PO Box 3360
Portland, OR 97208-3360
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amacmillan424725@wm.providencedirect.org | Direct |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60675915 | WA | MD | Family Medicine Physician |
Interoperability endpoints
- amacmillan424725@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1164837464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S SCHEUBER RD STE 3&4",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985318892",
"telephone_number": "360-827-7966",
"fax_number": "360-827-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "ALISON",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60675915",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amacmillan424725@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1010 S Scheuber Rd Ste 3&4",
"city": "Centralia",
"state": "WA",
"country_code": "US",
"postal_code": "985318892",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.