Peggy K McMillan, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

2005011794 Issued in MO

Practice address

126 Missouri Ave
Ft. Leonard Wood, MO 65473

Phone

(573) 596-1677

Fax

(573) 596-5389

NPI assigned

Sep 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1790093995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "city": "FT. LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-1677",
            "fax_number": "573-596-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "city": "FT. LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-1677",
            "fax_number": "573-596-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "PEGGY",
        "middle_name": "K",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MO",
            "license": "2005011794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jeanne McDonald, MSW, LISW, CADC
• Thomas Glen McGowen, PA-C
• Andrew McGrain, MD
• Ronald Joseph McInnis, PA-C
• Kenneth. L McKeel
• Sharon Gay McNelly, LPN
• Jolene Rene McQueen-Kidwell, LCSW
• Joshua Walker McWhirter, PT
• Rovena Mele, NP
• Benjamin Memmott, DO

• Case Management Registered Nurse in Ft. Leonard Wood, MO
• Providers in Ft. Leonard Wood, MO by specialty
• Case Management Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.