MR. DEREK ALAN MILLER (NPI# 1124510656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124510656 |
| Entity Type | Individual |
| Full Name | MR. DEREK ALAN MILLER |
| Credential | LMSW |
| Practice Address |
520 S Eagle Rd Meridian ID 83642-6351 |
| Mailing Address |
2807 E Massachusetts Ave Nampa ID 83686-6723 |
| Practice Telephone | 2087065651 |
| Mailing Telephone | 2088303424 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 35811 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205366002 | Derek Miller | Dentist | 7-174 Moos Tower 515 Delaware St. S, U of M Oral Surgery, Minneapolis, MN 55455 | 2017-06-14 |
| 1881126373 | Derek Miller | Pharmacist | 132 Douglas Ave, Holland, MI 49424-6514 | 2017-04-03 |
| 1073895199 | Derek Alan Miller | Pharmacist | 625 Pacha Pkwy, North Liberty, IA 52317-4831 | 2011-09-14 |
| 1467648808 | Derek Russell Miller | Respiratory Therapist, Registered | 5109 Horseshoe Cove Rd, Blairsville, GA 30512-7530 | 2007-09-19 |
| 1699706887 | Derek Wade Miller | Orthopaedic Surgery | 3105 Mcclelland Blvd., Joplin, MO 64804-1640 | 2006-07-05 |
| 1568013852 | Derek M Miller | Physician Assistant | 2101 Chapline St, Wheeling, WV 26003-3875 | 2019-09-27 |
| 1558810341 | Derek C. Miller | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2016-09-22 |
| 1124491212 | Derek Steven Miller | Physician Assistant | 300 S Jackson St, Suite 100, Denver, CO 80209-3176 | 2015-11-11 |
| 1639568272 | Derek Miller | Chiropractor | 3450 W Central Ave, Suite 136, Toledo, OH 43606-1416 | 2015-01-20 |
| 1316364904 | Derek Miller | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2014-03-21 |
| Street Address |
520 S EAGLE RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348015 | Robert E. Holland Jr. | Family Medicine | 520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 | 2005-07-07 |
| 1659984284 | Heather R Zimmerman | Occupational Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-24 |
| 1619587573 | Maria Herbison | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-05 |
| 1952927543 | Grayson T Kendall | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-19 |
| 1891310371 | David Joseph Matthews | Respiratory Therapist, Registered | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-10 |
| 1356960603 | Rebecca Finder | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-04-15 |
| 1982231023 | Stephen Blake Miltner | Physical Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-26 |
| 1093342834 | Clayton Hawks | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-23 |
| 1912547647 | Emily Tyler Getlein Marques | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-01-10 |
| 1184264244 | Jordan Leach | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697749 | Ashley Weiss | Social Worker | 973 S Brook Trout Way, Meridian, ID 83642-7745 | 2020-10-21 |
| 1962019513 | Jessica Rose Crocker-oswald | Social Worker | 13 E Ada Ave, Meridian, ID 83642-2725 | 2020-09-28 |
| 1578034690 | Alexis Staeb | Social Worker | 3023 E Copper Point Dr Ste 105, Meridian, ID 83642-9290 | 2018-12-16 |
| 1730697111 | Brittany A Baker | Social Worker | 1944 Old Wire Rd, Meridian, MS 39301-8321 | 2018-01-18 |
| 1386155810 | Caitlin Elizabeth Lanier | Social Worker | 1833 S Millenium Way, Meridian, ID 83642-1510 | 2017-10-24 |
| 1841716511 | June Ellen Boucher | Social Worker | 1287 E Drucker St, Meridian, ID 83642-4031 | 2017-08-15 |
| 1639605694 | Joshua Randall Grade | Social Worker | 1322 W Verbena Dr, Meridian, ID 83642-1238 | 2017-05-11 |
| 1417333469 | Jennifer Kopec | Social Worker | 2825 S Meridian Rd Ste 150, Meridian, ID 83642-7960 | 2015-07-31 |
| 1265838601 | Amanda Sue Helsley | Social Worker | 3525 E. Louise Dr. Suite 500, Meridian, ID 83642 | 2014-11-12 |
| 1912307737 | Stephanie Abney | Social Worker | 524 E Havasu Falls St, Meridian, ID 83646-6397 | 2014-08-28 |
| Find all providers in MERIDIAN | ||||
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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.