Individual provider Active NPI

Rebecca Lynn Sharp McMillen, FNP-C

  • Family Nurse Practitioner
  • Jamestown, NY
National Provider Identifier
1649889262
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346546 Issued in NY
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

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
790384OtherNYREGISTERED PROFESSIONAL NURSE
F346546OtherNYNY NURSE PRACTITIONER IN FAMILY HEALTH
RN564977OtherPAREGISTERED NURSE
SP022338OtherPACERTIFIED 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

LicenseStateTypeSpecialty
790384-01NYMDRegistered Nurse
RN564977PAMDRegistered Nurse
F346546NYMDFamily Nurse Practitioner
SP022338PAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.