SHANNON MILLER (NPI# 1063850766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063850766 |
| Entity Type | Individual |
| Full Name | SHANNON MILLER |
| Credential | APRN-CNP |
| Practice Address |
1600 Sw 119th St Oklahoma City OK 73170-4908 |
| Mailing Address |
5300 N Independence Ave Ste 280 Oklahoma City OK 73112-5555 |
| Practice Telephone | 4054258100 |
| Practice Fax Number | 4054258109 |
| Mailing Telephone | 4054258100 |
| Mailing Fax Number | 4054258109 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 78164 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
78164 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094411 | Shannon Christine Miller | Respite Care | 1750 New Mexico St, Green River, WY 82935-6252 | 2020-08-22 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1528618469 | Shannon Lynn Miller | Technician | 31 E Claude Ct, Belfair, WA 98528-9123 | 2019-09-12 |
| 1093293862 | Shannon Lance Miller | Licensed Vocational Nurse | 133 Marilyn St, Nacogdoches, TX 75961-5448 | 2018-08-02 |
| 1194265868 | Shannon Miller | Social Worker | 2245 W Marquette Woods Rd, Stevensville, MI 49127-9586 | 2017-03-01 |
| 1215488275 | Shannon Miller | Social Worker | 752 Steeplechase Rd, Landisville, PA 17538-1536 | 2016-10-14 |
| 1407229800 | Shannon Miller | Occupational Therapist | 2176 Groveland Rd, Palm Harbor, FL 34683-3334 | 2015-11-06 |
| 1902298565 | Shannon Miller | Physician Assistant | 40674 Calle Cancion, Temecula, CA 92592-9472 | 2015-02-19 |
| 1871860239 | Shannon Miller | Psychologist | 709 Milan Hill Rd, Red Hook, NY 12571-4345 | 2011-11-29 |
| 1366774028 | Shannon Mj Miller | Speech-Language Pathologist | 8050 Corporate Cir Ste 4, North Royalton, OH 44133-1281 | 2010-02-05 |
| Street Address |
1600 SW 119TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73170-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166499 | Shannon L Johnson | Nurse Practitioner | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2005-10-05 |
| 1245766864 | Ahmed Salous | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2017-05-02 |
| 1881138352 | Jennifer Paulley-micue | Social Worker | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2016-12-18 |
| 1467893941 | Erin Nagode Nguyen | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2013-07-11 |
| 1063723195 | Joseph Nguyen | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2010-06-23 |
| 1568637353 | Kyle Bradley French | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2008-04-23 |
| 1497951685 | Adrienne Emel Kesinger | Internal Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2007-06-25 |
| 1679619712 | Hoang Nguyen | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2007-01-29 |
| 1710921291 | Raymond Louis Wall | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2006-06-15 |
| 1144261934 | Christi Renae Dewitt | Family Medicine | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483302 | Terri Lynn Quintero | Nurse Practitioner | 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 | 2020-10-06 |
| 1952917239 | Philomina Philipose | Nurse Practitioner | 8805 Nw 116th St, Oklahoma City, OK 73162-2220 | 2020-09-21 |
| 1376158295 | Ligi Abraham | Nurse Practitioner | 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 | 2020-09-09 |
| 1487266532 | Carla Jo Walker | Nurse Practitioner | 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 | 2020-08-20 |
| 1396356143 | Deshell Ravette Tillman | Nurse Practitioner | 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 | 2020-08-14 |
| 1225656549 | Simon Wellness LLC | Nurse Practitioner | 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 | 2020-07-13 |
| 1831717396 | Caitlin Raylynn Stenberg | Nurse Practitioner | 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 | 2020-07-10 |
| 1467078113 | Jaanki Bhakta | Nurse Practitioner | 9116 Sw 24th St, Oklahoma City, OK 73128-4903 | 2020-06-18 |
| 1629699244 | Tanya Cates | Nurse Practitioner | 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 | 2020-05-05 |
| 1922629054 | Heather Amanda Chin Hwa Rutledge | Nurse Practitioner | 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73170 |
Please comment or provide details below to improve the information on SHANNON MILLER.
| 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.