MR. NATHAN T MILLS (NPI# 1174870778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174870778 |
| Entity Type | Individual |
| Full Name | MR. NATHAN T MILLS |
| Credential | ARNP |
| Practice Address |
400 John Deere Rd Bldg 1 Moline IL 61265-6898 |
| Practice Telephone | 3095173036 |
| Practice Fax Number | 3097971088 |
| Mailing Telephone | 3095173036 |
| Mailing Fax Number | 3097971088 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209009784 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
L-114465 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1174870778 | 05 |
| Street Address |
400 JOHN DEERE RD BLDG 1 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476339 | Venkateswararao Alla | Internal Medicine | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2005-06-09 |
| 1225583453 | Krystine Ryan | Nurse Practitioner | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2016-08-17 |
| 1700239449 | Lindsay Tapia | Nurse Practitioner | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2016-07-18 |
| 1497131304 | Saysha M. Bolden | Nurse Practitioner | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2015-08-03 |
| 1659669240 | Ravinder Pal Singh Bhatti | Internal Medicine | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2011-07-15 |
| 1134339203 | Suresh Alla | Internal Medicine | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2007-05-23 |
| 1154462224 | Rajesh Alla | Internal Medicine | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2007-02-09 |
| 1740349034 | Quad Cities Nephrology Associates, P.l.c., LLC | Internal Medicine | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2006-12-06 |
| 1285739151 | Pamela S. Vipond | Nurse Practitioner | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2006-09-14 |
| 1558300780 | Deanne M Hobert | Nurse Practitioner | 400 John Deere Rd Bldg 1, Moline, IL 61265-6898 | 2006-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144876319 | Kelsey Marie Lisius | Nurse Practitioner | 550 30th Ave Ste 12, Moline, IL 61265-5975 | 2019-08-14 |
| 1275814881 | Rhonda M Peterson | Nurse Practitioner | 1100 36th Avenue, Moline, IL 61265 | 2011-09-09 |
| 1194873729 | Serena L Curler | Nurse Practitioner | 106 19th Ave, Suite 101, Moline, IL 61265-3700 | 2007-01-08 |
| 1447360334 | Denise Diane Boelens | Nurse Practitioner | 1100 36th Avenue, Moline, IL 61265 | 2006-08-30 |
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|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
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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.