Individual provider Active NPI

Tonya Germany McMillon

  • Licensed Practical Nurse
  • Quincy, FL
National Provider Identifier
1972736676
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5168561 Issued in FL
Practice address
278 Dr. Lasalle Laffalle Drive
Quincy, FL 32351-1000
Phone
(850) 539-2888
Fax
(850) 539-2766
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5168561 FL Primary

Addresses

Primary practice location

278 Dr. Lasalle Laffalle Drive
Quincy, FL 32351-1000

Mailing address

278 Dr. Lasalle Laffalle Drive
Quincy, FL 32351
Phone (850) 539-2888

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

State licenses

LicenseStateTypeSpecialty
PN5168561FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1972736676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 DR. LASALLE LAFFALLE DRIVE",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "32351",
            "telephone_number": "850-539-2888",
            "fax_number": "850-539-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 DR. LASALLE LAFFALLE DRIVE",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323511000",
            "telephone_number": "850-539-2888",
            "fax_number": "850-539-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLON",
        "first_name": "TONYA",
        "middle_name": "GERMANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5168561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.