Individual provider Active NPI

Carol Susan Millan, A.P.N.C.

  • Family Nurse Practitioner
  • Cranston, RI
National Provider Identifier
1205057890
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN04569300 Issued in NJ
Practice address
1090 Cranston St
Cranston, RI 02920-7323
Phone
(401) 943-1981
Fax
(401) 943-2846
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 26NN04569300 NJ Primary

Addresses

Primary practice location

1090 Cranston St
Cranston, RI 02920-7323

Mailing address

1090 Cranston St
Cranston, RI 02920-7323
Phone (401) 943-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150306000648 RI Practitioner - Nurse Practitioner 6406172626 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN04569300NJMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1205057890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 CRANSTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207323",
            "telephone_number": "401-943-1981",
            "fax_number": "401-943-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 CRANSTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207323",
            "telephone_number": "401-943-1981",
            "fax_number": "401-943-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "CAROL",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "A.P.N.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN04569300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.