Tanya Nicole Millar, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

546396-01 Issued in NY

Practice address

455 Sutter Ave
Brooklyn, NY 11212-8111

Phone

(718) 765-6550

Fax

(347) 620-9739

NPI assigned

Jan 9, 2023

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Street Health of New York Medical Group PC

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1780209445

  Family

  NPD

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1821702598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112128111",
            "telephone_number": "718-765-6550",
            "fax_number": "347-620-9739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "754 Klondike Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103144824",
            "country_code": "US",
            "telephone_number": "646-359-0935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "TANYA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "546396-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mill Basin Daycare Center, LLC
• Mill Basin Imaging
• Mill Basin Medical Health PC
• Mill Basin Optical Inc
• Mill Basin Pharmacy Inc
• Melissa Anne Millen, PA
• Millenium Dentistry PC
• Millennium Ambulatory Surgery Center, LLC
• Millennium Chemist Inc (Red Hook Pharmacy)
• Millennium Medical P.C.

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.