Individual provider Active NPI

Sean McMillan

  • Personal Emergency Response Attendant
  • Broomfield, CO
National Provider Identifier
1962424374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
Practice address
7070 W 117TH Ave
Unit C
Broomfield, CO 80020-2923
Phone
(303) 469-3325
Fax
(303) 469-3380
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X CO Primary

Addresses

Primary practice location

7070 W 117TH Ave
Unit C
Broomfield, CO 80020-2923

Mailing address

7070 W 117TH Ave
Unit C
Broomfield, CO 80020-2923
Phone (303) 469-3325

Other identifiers 1

IdentifierTypeStateIssuer
77421736MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Ambulance Inc Current Accepting new patients

Locations

7070 W 117th Ave
Ste C
Broomfield, CO 80020
Phone (303) 469-3325

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962424374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 W 117TH AVE",
            "address_2": "UNIT C",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202923",
            "telephone_number": "303-469-3325",
            "fax_number": "303-469-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 W 117TH AVE",
            "address_2": "UNIT C",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202923",
            "telephone_number": "303-469-3325",
            "fax_number": "303-469-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77421736",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.