Individual provider Active NPI

Margaret Cameron Miniclier, NP

  • Family Nurse Practitioner
  • Ukiah, CA
National Provider Identifier
1740374479
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225768 Issued in CA
Practice address
844 S Dora St
Ukiah, CA 95482-5711
Phone
(707) 462-8603
Fax
(707) 462-8605
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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 225768 CA Primary

Addresses

Primary practice location

844 S Dora St
Ukiah, CA 95482-5711

Mailing address

PO Box 444
Philo, CA 95466-0444
Phone (707) 489-6619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130429000131 CA Practitioner - Nurse Practitioner 2567608078 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3629CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Offices of Robert Rushton, Inc. CurrentSince Mar 24, 2018 Accepting new patients

Locations

844 S Dora St
Ukiah, CA 95482
Phone (707) 462-8603

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1740374479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "PHILO",
            "state": "CA",
            "postal_code": "954660444",
            "telephone_number": "707-489-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825711",
            "telephone_number": "707-462-8603",
            "fax_number": "707-462-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICLIER",
        "first_name": "MARGARET",
        "middle_name": "CAMERON",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "225768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.