Timothy Lee McMillion, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

12146 Issued in WV

Practice address

417 Grand Park Dr
Parkersburg, WV 26105-0002

Phone

(304) 422-9293

Fax

(304) 422-9294

NPI assigned

Sep 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1801518923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR STE 203",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054049",
            "telephone_number": "304-422-9293",
            "fax_number": "304-422-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261050002",
            "telephone_number": "304-422-9293",
            "fax_number": "304-422-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLION",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "12146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DESKTOP/TABLET",
            "affiliation": "N",
            "address_1": "417 Grand Park Dr",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261050002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenna McLain
• Josh Michael McLaughlin
• Amanda A. McLeish, MA, CCJP, CIS
• Nancy McManus
• Angela McMillan
• Christina McMullen
• Jubilee McNabb
• Barbara McNeely
• April L McNeill
• Amanda Jo McNemar

• Licensed Practical Nurse in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.