Active NPI
Katherine Macomber Millman, L.M.P.
- Contractor
- Port Townsend, WA
National Provider Identifier
1609890755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MA00005496
- Practice address
- 818 Corona St
Port Townsend, WA 98368-4920 - Phone
- (360) 385-5982
- NPI assigned
- Jul 26, 2006
- Last updated
- Nov 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MA00005496 | WA | Primary |
Addresses
Primary practice location
818 Corona St
Port Townsend, WA 98368-4920
Mailing address
1033 29TH St
Port Townsend, WA 98368-6130
Phone (360) 385-5982
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523847 | Other | WA | COMMUNITY HEALTH PLAN OF WASHINGTON |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00005496 | WA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1609890755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 29TH ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686130",
"telephone_number": "360-385-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 CORONA ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983684920",
"telephone_number": "360-385-5982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLMAN",
"first_name": "KATHERINE",
"middle_name": "MACOMBER",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "MA00005496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN OF WASHINGTON",
"identifier": "1523847",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.