Active NPI
Rebecca Lynn Sharp McMillen, FNP-C
- Family Nurse Practitioner
- Jamestown, NY
National Provider Identifier
1649889262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F346546
- Practice address
- 350 E 2ND St
Jamestown, NY 14701-5623 - Phone
- (716) 483-4373
- NPI assigned
- Jul 29, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 790384-01 | NY | |
| Registered Nurse | 163W00000X | RN564977 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP022338 | PA | |
| Family Nurse Practitioner | 363LF0000X | F346546 | NY | Primary |
Addresses
Primary practice location
350 E 2ND St
Jamestown, NY 14701-5623
Mailing address
200 Dunham Ave
Jamestown, NY 14701-2528
Phone (716) 483-2344
Other practice location 1
975 Patchen Hill Rd
Sugar Grove, PA 16350-3419
Phone (814) 730-4316
Other practice location 2
Railroad St
Youngsville, PA 16371-0039
Phone (814) 730-4316
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790384 | Other | NY | REGISTERED PROFESSIONAL NURSE |
| F346546 | Other | NY | NY NURSE PRACTITIONER IN FAMILY HEALTH |
| RN564977 | Other | PA | REGISTERED NURSE |
| SP022338 | Other | PA | CERTIFIED REGISTERED NURSE PRACTITIONER |
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 |
|---|---|---|---|
| 790384-01 | NY | MD | Registered Nurse |
| RN564977 | PA | MD | Registered Nurse |
| F346546 | NY | MD | Family Nurse Practitioner |
| SP022338 | PA | MD | Family Nurse Practitioner |
Interoperability endpoints
- rebeccasharpmcmillen@trc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1649889262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 DUNHAM AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012528",
"telephone_number": "716-483-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E 2ND ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147015623",
"telephone_number": "716-483-4373"
}
],
"practiceLocations": [
{
"address_1": "975 Patchen Hill Rd",
"address_purpose": "LOCATION",
"city": "Sugar Grove",
"state": "PA",
"postal_code": "163503419",
"country_code": "US",
"telephone_number": "814-730-4316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Railroad St",
"address_purpose": "LOCATION",
"city": "Youngsville",
"state": "PA",
"postal_code": "163710039",
"country_code": "US",
"telephone_number": "814-730-4316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARP MCMILLEN",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "790384-01",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN564977",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP022338",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F346546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PROFESSIONAL NURSE",
"identifier": "790384",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY NURSE PRACTITIONER IN FAMILY HEALTH",
"identifier": "F346546",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "RN564977",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED REGISTERED NURSE PRACTITIONER",
"identifier": "SP022338",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.