Sally S McMillan-Dengerud, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

219839 Issued in TX

Practice address

2900 S Loop 256
Suite 100
Palestine, TX 75801-6958

Phone

(903) 723-8210

Fax

(903) 723-8310

NPI assigned

Aug 29, 2005

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Denton Erdocs PA

  • Nurse Practitioner
  • Denton, TX
  • NPI 1295780906
  NPD (past)
• East Texas Medical Center Healthcare Associates

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1326082892
  NPD (past)
• East Texas Medical Center Healthcare Associates

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1699719872
  NPD (past)
• J. Don Jackson Jr, MD, PA

  • Surgery Physician
  • Palestine, TX
  • NPI 1922150663
  NPD (past)
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1659446193

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1952394512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758020817",
            "telephone_number": "903-727-0110",
            "fax_number": "903-727-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S LOOP 256",
            "address_2": "SUITE 100",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016958",
            "telephone_number": "903-723-8210",
            "fax_number": "903-723-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN-DENGERUD",
        "first_name": "SALLY",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "219839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Linn McClendon
• John Thomas McCurdy, FNP-C
• Robert McFarlane, M.D.
• Sherry Elizabeth McIlwain, WHNP-BC
• William Bryce McKenzie
• Mary J. McNeely, CRNA
• Meals on Wheels of Palestine, Inc.
• Medical Team Correctional Medical Services Management, LLC
• Melinda a Duncan DO, PA
• Rachel Elise Merrifield, MD

• All providers in Palestine, TX
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.