Satara Alicia McMillian

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AS410389803 Issued in MI

Practice address

2115 Francis Ave SE
Grand Rapids, MI 49507-3016

Phone

(616) 633-3953

NPI assigned

May 6, 2018

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

Other identifiers 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": "1525564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525564800000",
    "number": "1841789823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 FRANCIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073016",
            "telephone_number": "616-633-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 FRANCIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073016",
            "telephone_number": "616-633-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIAN",
        "first_name": "SATARA",
        "middle_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-06",
        "last_updated": "2018-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AS410389803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0191049",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann McMahon, LMSW
• Alyssa McMandon, DO
• April D McManes, PA-C
• Curtis McMann, PA-C
• Raekesha Lachelle McMillian
• Tara Rachelle McMillin, PHARMD
• Shannon Marie McMullin, LLMSW
• Shan Michael McMurphy, RPH
• Toni McMurphy, OTR
• Daniel McMurray, LLPC

• Foster Care Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2018; 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.