BETHANY MILLER (NPI# 1174592257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174592257 |
| Entity Type | Individual |
| Full Name | BETHANY MILLER |
| Credential | CRNA |
| Practice Address |
7309 N Knoxville Ave Peoria IL 61614-2085 |
| Mailing Address |
6202 Hartford Dr Pekin IL 61554-9226 |
| Practice Telephone | 3092820827 |
| Practice Fax Number | 3096831003 |
| Mailing Telephone | 3092820827 |
| Mailing Fax Number | 3096831003 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952632002 | Bethany Miller | Physical Therapist | 840 Panorama Rd, Fullerton, CA 92831-1030 | 2010-01-28 |
| 1437381548 | Bethany Miller | Registered Nurse | 2150 Equestrian Dr Apt 2d, Miamisburg, OH 45342-5611 | 2009-08-23 |
| 1053500330 | Bethany Lynn Miller | Nurse Practitioner | 777 South Clinton Avenue, Highland Family Planning, Rochester, NY 14620 | 2007-10-23 |
| 1639111891 | Bethany Luciani Miller | Internal Medicine | 80 Norwich New London Tpke, Uncasville, CT 06382-2527 | 2006-06-12 |
| 1932663960 | Bethany Miller | Social Worker | 510 Northgate Park Dr, Winston Salem, NC 27106-3486 | 2019-01-23 |
| 1245724798 | Bethany L Miller | Counselor | 201 Chestnut Ave, Altoona, PA 16601-4927 | 2018-06-19 |
| 1568818581 | Bethany Jensen Miller | Family Medicine | 1700 Geary St Se Ste 200, Albany, OR 97322-6842 | 2016-05-09 |
| 1417362765 | Bethany Miller | Specialist/Technologist | 331 S Main St, Rice Lake, WI 54868-2253 | 2014-06-25 |
| 1952602237 | Bethany Shaye Miller | Physical Therapist | 3830 Trueman Ct, Hilliard, OH 43026-2496 | 2010-11-03 |
| 1508015876 | Bethany A Miller | Speech-Language Pathologist | 78 Harding Ave, Kenmore, NY 14217-1408 | 2008-09-11 |
| Street Address |
7309 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688669 | Lisa K Nielsen | Physician Assistant | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2005-12-06 |
| 1962038356 | Joshua Michael Auer | Nurse Practitioner | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2020-03-17 |
| 1932449691 | J&j Health Services LLC | Urology | 7309 N Knoxville Ave, Suite 200, Peoria, IL 61614-2085 | 2013-02-18 |
| 1649537986 | Lorie L Recar | Specialist/Technologist, Other | 7309 N Knoxville Ave, Ste. #2, Peoria, IL 61614-2085 | 2012-04-11 |
| 1659662070 | Erin Jean Overcash | Nurse Practitioner | 7309 N Knoxville Ave, Suite 300, Peoria, IL 61614-2085 | 2011-04-20 |
| 1427360809 | Laurie Mcatee | Nurse Anesthetist, Certified Registered | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2010-07-13 |
| 1275869240 | Tracy L Schierer | Nurse Practitioner | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2009-10-27 |
| 1942441225 | Laura L Wilson-brown | Physician Assistant | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2009-03-16 |
| 1821244880 | Brian Arthur Elsesser | Nurse Anesthetist, Certified Registered | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2008-08-11 |
| 1891715272 | Midwest Urological Group, Ltd. | Specialist | 7309 N Knoxville Ave, Peoria, IL 61614-2085 | 2006-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013474071 | Vitalz Anesthesia Unlimited LLC | Nurse Anesthetist, Certified Registered | 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | 2019-02-26 |
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1033365291 | Mathew J Maupin | Nurse Anesthetist, Certified Registered | 5401 N. Knoxville Suite 416, Peoria, IL 61528 | 2008-08-07 |
| 1285802678 | Jenny Kunvarji Shah | Nurse Anesthetist, Certified Registered | 802 W Trailcreek Dr, Cosmetic Surgery Care, Peoria, IL 61614-1862 | 2008-02-19 |
| 1003919382 | Melissa Terhark | Nurse Anesthetist, Certified Registered | 8600 North State Route 91, Suite #250, Peoria, IL 61615 | 2006-09-05 |
| 1760419600 | Kristen L Manning | Nurse Anesthetist, Certified Registered | 8600 N State Route 91 Suite 250, Peoria, IL 61615-9506 | 2006-06-27 |
| 1518903798 | Marcus D Weeks | Nurse Anesthetist, Certified Registered | 8600 N State Route 91 Ste 250, Peoria, IL 61615-9506 | 2006-06-22 |
| 1942278130 | Larry J Kotewa | Nurse Anesthetist, Certified Registered | 124 W Whitehall Ct, Peoria, IL 61614-3032 | 2006-03-14 |
| 1588651566 | Timothy James Samolitis | Nurse Anesthetist, Certified Registered | 8600 N. State Route 91, Suite 250, Peoria, IL 61615 | 2005-10-04 |
| 1699761726 | Ann M Willemsen-dunlap | Nurse Anesthetist, Certified Registered | 8600 State Route 91 Ste 250, Peoria, IL 61615-7831 | 2005-09-23 |
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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.