MARY ANN MILLER (NPI# 1063050516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063050516 |
| Entity Type | Individual |
| Full Name | MARY ANN MILLER |
| Practice Address |
4519 W Amanda Dr Wasilla AK 99623-1046 |
| Mailing Address |
Po Box 871282 Wasilla AK 99687-1282 |
| Practice Telephone | 2087134603 |
| Mailing Telephone | 2087134603 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 101350 | AK | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093322166 | Mary Miller | Student in an Organized Health Care Education/Training Program | 27 Hurd Rd, Brookline, MA 02445-6911 | 2020-09-23 |
| 1396377123 | Mary Angela Miller | Dietitian, Registered | 560 Jacob Close, Gahanna, OH 43230-2884 | 2020-02-10 |
| 1215585070 | Mary Mccall Miller | Technician | 9436 Sacramento Dr, New Port Richey, FL 34655-1619 | 2019-08-26 |
| 1467932186 | Mary Miller | Licensed Vocational Nurse | 1035 Fm 971, Georgetown, TX 78626-4520 | 2018-08-21 |
| 1467943019 | Mary Laborde Miller | Dentist | 2425 33rd Ave W, Seattle, WA 98199-3255 | 2018-05-18 |
| 1225540578 | Mary Katherine Miller | Registered Nurse | 100 Ucla Medical Plz Ste 730, Los Angeles, CA 90024-6995 | 2017-10-26 |
| 1306384466 | Mary Miller | Speech-Language Pathologist | 1585 Wedgewood Dr, Piqua, OH 45356-8592 | 2017-02-08 |
| 1437529518 | Mary Ellen Miller | Dietitian, Registered | 6505 Robbie Creek Cv, Austin, TX 78750-8130 | 2015-10-01 |
| 1841538675 | Mary A Miller | Occupational Therapy Assistant | 12 Spruce St Ste 3, Augusta, ME 04330-5204 | 2013-01-29 |
| Street Address |
4519 W AMANDA DR |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294310 | Forget Me Not Care Home | Assisted Living Facility | 4519 W Amanda Dr, Wasilla, AK 99623-1046 | 2020-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659912152 | Kristal Steele | Assisted Living Facility | 2650 N Garnet Ln, Wasilla, AK 99654-3414 | 2019-10-05 |
| 1790262905 | Brendan Charles Mccann | Assisted Living Facility | 1460 E Mulchatna Dr, Wasilla, AK 99654-3540 | 2018-07-20 |
| 1477053965 | Justine M Fine | Assisted Living Facility | 1414 N Pioneer Peak Dr, Wasilla, AK 99654-5924 | 2018-02-20 |
| 1760996847 | Utopia LLC | Assisted Living Facility | 6651 N Grouse Loop, Wasilla, AK 99654-9020 | 2017-11-27 |
| 1659890879 | The Alaska Care Home | Assisted Living Facility | 5511 W Montclaire Ave, Wasilla, AK 99623-0984 | 2017-09-19 |
| 1164960183 | All Good Homes | Assisted Living Facility | 3551 N Aoki Dr, Wasilla, AK 99654-2835 | 2017-02-09 |
| 1093264814 | Joshua House, LLC. | Assisted Living Facility | 2180 S Foothills Blvd, Wasilla, AK 99623-9509 | 2016-09-22 |
| 1275902652 | Magnolia Manor LLC | Assisted Living Facility | 751 N Someret Cir, Wasilla, AK 99654 | 2015-09-16 |
| 1215374749 | Granny's Downhome Care Center | Assisted Living Facility | 2200 E Wolverine Cir, Wasilla, AK 99654-2708 | 2013-05-23 |
| 1689935777 | Dan & Robin Mingo Enterprises | Assisted Living Facility | 7750 W Golden Dr, Wasilla, AK 99623-9235 | 2012-06-05 |
| Find all providers in WASILLA | ||||
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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.