CLEMENTINE MILLER (NPI# 1013306455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013306455 |
| Entity Type | Individual |
| Full Name | CLEMENTINE MILLER |
| Credential | ADULT NP |
| Practice Address |
1205 Troy Schenectady Rd Ste 101 Latham NY 12110-1074 |
| Mailing Address |
3217 Phillip St Schenectady NY 12306-1420 |
| Practice Telephone | 5183483176 |
| Mailing Telephone | 6178385375 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307173 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 214 State St, Schenectady, NY 123051806 | 5186888611 |
| Street Address |
1205 TROY SCHENECTADY RD STE 101 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215926977 | Heidi Jane Rasmussen | Family Medicine | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2005-10-17 |
| 1669084703 | Lashondia Sheree Adams | Psychiatry & Neurology | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2020-08-19 |
| 1982240339 | Andrea Guthorn | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2019-11-20 |
| 1518449677 | Kathleen M Ryan | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2018-09-05 |
| 1659891810 | Katie Suzanne Tafur | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2017-06-20 |
| 1427507284 | Sachmarie Crowley | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2016-09-22 |
| 1497201511 | Portia O Davis | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2016-08-29 |
| 1538521380 | Jon Edward Streeter | Physician Assistant | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2016-03-22 |
| 1568846806 | Catherine A Lesson | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2015-07-16 |
| 1003297599 | Ashleigh Berger | Registered Nurse | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2015-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548221914 | Kathleen Mary Lanka | Nurse Practitioner | 930 Albany Shaker Rd, Latham, NY 12110-6412 | 2006-03-28 |
| 1831598051 | Pamela Casey | Nurse Practitioner | 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110-1074 | 2014-08-14 |
| 1962743831 | Jennifer Lee Goldstock | Nurse Practitioner | 654 Watervliet Shaker Rd, Suite 3, Latham, NY 12110 | 2013-03-01 |
| 1376849521 | Bernice Rostocki | Nurse Practitioner | 711 Troy Schenectady Rd, Suite 104, Latham, NY 12110-2442 | 2011-02-07 |
| 1750405528 | Cynthia L Cook | Nurse Practitioner | 930 Albany Shaker Rd, Latham, NY 12110-6412 | 2007-03-19 |
| 1871632109 | Alan Theodule Betit | Nurse Practitioner | 711 Troy Schenectady Rd Ste 104, Latham, NY 12110-2454 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.