Individual provider Active NPI

Jennifer Alyssa McCahill

  • Medical Art Specialist/Technologist
  • Millsboro, DE
National Provider Identifier
1407331622
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X
License
2018604829 Issued in DE
Practice address
29786 John J Williams Hwy Unit 3
Millsboro, DE 19966-4099
Phone
(302) 440-5855
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/Technologist 246ZA2600X 2018604829 DE Primary

Addresses

Primary practice location

29786 John J Williams Hwy Unit 3
Millsboro, DE 19966-4099

Mailing address

107 Millers Run
Millsboro, DE 19966-1606
Phone (302) 745-2006

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
2018604829DEMDMedical Art Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1407331622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MILLERS RUN",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199661606",
            "telephone_number": "302-745-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29786 JOHN J WILLIAMS HWY UNIT 3",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664099",
            "telephone_number": "302-440-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAHILL",
        "first_name": "JENNIFER",
        "middle_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "DE",
            "license": "2018604829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.