MR. VINCENT MILLER (NPI# 1215473863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215473863 |
| Entity Type | Individual |
| Full Name | MR. VINCENT MILLER |
| Other Name | VINCENT MILLER |
| Practice Address |
1910 Shaffer St Kalamazoo MI 49048-1604 |
| Practice Telephone | 2693829820 |
| Practice Fax Number | 2693827078 |
| Mailing Telephone | 2693829820 |
| Mailing Fax Number | 2693827078 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | M-00079 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013423847 | Vincent Miller | Psychologist | 200 Recreation Dr, Bolingbrook, IL 60440-3071 | 2017-12-15 |
| 1043328347 | Vincent T Miller | Psychiatry & Neurology | 7602 70th St, Chippewa Falls, WI 54729-5867 | 2006-08-27 |
| 1457335002 | Vincent V. Miller | Family Medicine | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2005-12-06 |
| 1619424041 | Vincent Michael Miller | Social Worker | 1904 Se Division St, Portland, OR 97202-1146 | 2016-09-01 |
| 1023131919 | Vincent James Miller | Anesthesiology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2007-04-08 |
| 1740371293 | Vincent A Miller | Internal Medicine | 1275 York Ave, New York, NY 10021-6007 | 2006-09-28 |
| Street Address |
1910 SHAFFER ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962863001 | Julie A French | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2016-03-17 |
| 1679180707 | Jasmine Granville | Social Worker | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-09-23 |
| 1508471483 | Sarah Ann-mcconnell Wirth | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-09-09 |
| 1295344794 | Gabriell Bailey-humphrey | Nurse's Aide | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-07-30 |
| 1730703182 | Cristina Marie Goetz | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-06-02 |
| 1992328371 | Paula Lynn Hill | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2020-05-20 |
| 1346887312 | Suzanne Kay Lahti | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-12-09 |
| 1780227785 | Karen Schieman | Registered Nurse | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-10-22 |
| 1760023790 | Dallas Shafer | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-10-01 |
| 1023669322 | Lauren Whitehurst | Counselor | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449899 | John Dueber | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2020-08-25 |
| 1639684608 | Michelle L Morgan | Peer Specialist | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2017-12-12 |
| 1003326125 | Kyle Wayne Sofia | Peer Specialist | 1910 Shaffer St, Kalamazoo, MI 49048-1604 | 2017-10-03 |
| 1184174930 | Corey Dean | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2016-10-05 |
| 1336695048 | Patrick Kaufmann | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2016-09-01 |
| 1700250446 | Junelle Hicks | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-11-18 |
| 1396116976 | Kimberly Armstrong-howell | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-10-08 |
| 1295129658 | Patrick Forseman | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-03-24 |
| 1619361409 | Cynthia Plum | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-03-19 |
| 1598158388 | Jamie Raymond | Peer Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2015-03-18 |
| Find all providers in KALAMAZOO | ||||
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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.