JENNIFER A MILLER (NPI# 1104854355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104854355 |
| Entity Type | Individual |
| Full Name | JENNIFER A MILLER |
| Credential | MD |
| Practice Address |
2999 Regent St Ste 325 Berkeley CA 94705-2118 |
| Practice Telephone | 9254381110 |
| Practice Fax Number | 5108415650 |
| Mailing Telephone | 9254381110 |
| Mailing Fax Number | 5108415650 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A76774 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0077490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194753 | Jennifer Renee Miller | Social Worker | 4645 Plano Pkwy Apt 9303, Carrollton, TX 75010-4963 | 2020-11-05 |
| 1740808542 | Jennifer R Miller | Occupational Therapist | 3019 S Colonial St, Gilbert, AZ 85295-8360 | 2020-07-08 |
| 1245897719 | Jennifer Miller | Occupational Therapy Assistant | 2288 Fircrest Dr Se, Port Orchard, WA 98366-2641 | 2019-05-21 |
| 1659935864 | Jennifer Miller | Occupational Therapist | 27553 Cashford Cir # 101, Wesley Chapel, FL 33544-6911 | 2019-04-24 |
| 1659842169 | Jennifer Miller | Registered Nurse | 5223 W Hillcrest Dr, Mequon, WI 53092-2012 | 2018-12-09 |
| 1710461967 | Jennifer Lee Miller | Nurse Practitioner | 805 N 4th Ave Unit 508, Phoenix, AZ 85003-1354 | 2018-09-23 |
| 1194208314 | Jennifer Miller | Social Worker | 73 Mount Wayte Ave Ste 4, Framingham, MA 01702-5803 | 2018-09-13 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1568950947 | Jennifer L Miller | Licensed Vocational Nurse | 5349 Emmeryville Ln, Fort Worth, TX 76244-6203 | 2018-05-01 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| Street Address |
2999 REGENT ST STE 325 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275097271 | Robert H Dorsett | Pediatrics | 2817 Cherry St, Berkeley, CA 94705-2309 | 2019-01-24 |
| 1033487160 | Aurora Mcallister | Pediatrics | 1415 Stannage Ave, Berkeley, CA 94702-1031 | 2011-12-03 |
| 1659676153 | Elmer R. Grossman | Pediatrics | 899 Euclid Ave, Berkeley, CA 94708-1305 | 2011-01-14 |
| 1801032990 | Florence Cynthia Kuyt | Pediatrics | 2731 Benvenue Ave, Berkeley, CA 94705-1201 | 2008-12-19 |
| 1811197908 | Katherine Johnston | Pediatrics | 116 The Uplands, Berkeley, CA 94705-2817 | 2007-07-18 |
| 1164562864 | Janet M. Berreman | Pediatrics | 830 University Ave, Berkeley, CA 94710-2044 | 2007-02-08 |
| 1891847547 | Ann L. Parker | Pediatrics | 900 Colusa Ave, Berkeley, CA 94707-2319 | 2007-01-16 |
| 1740374404 | Myles B. Abbott | Pediatrics | 2999 Regent St., Suite 325, Berkeley, CA 94705-2118 | 2006-10-03 |
| 1447267414 | Jane Emily Hunter | Pediatrics | 2320 Woosley Street, Suite 301, Berkeley, CA 94705 | 2006-08-02 |
| 1558382242 | Elaine E Davenport | Pediatrics | 1321 Mcgee Ave, Berkeley, CA 94703-1005 | 2006-07-21 |
| Find all providers in BERKELEY | ||||
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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.