LYNNETTE DEANNE MILLER (NPI# 1225259112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225259112 |
| Entity Type | Individual |
| Full Name | LYNNETTE DEANNE MILLER |
| Credential | CSA |
| Practice Address |
32492 750th Ave Racine MN 55967-8588 |
| Practice Telephone | 5072551470 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
32492 750TH AVE |
| City | RACINE |
| State | MN |
| Zip Code | 55967-8588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275057507 | Samantha Blahnik | Physical Therapist | 73892 325th St., Racine, MN 55967 | 2017-07-28 |
| 1407492838 | Anna Christine Vaith | Specialist/Technologist | 10 Oak Ave Ne # 112, Racine, MN 55967-8832 | 2019-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1215537071 | Jacqueline Albino | Registered Nurse | 1431 Johnson Ave, Racine, WI 53402-2549 | 2020-10-29 |
| 1811597933 | Mount Pleasant Homes LLP | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1917 Mount Pleasant St, Racine, WI 53404-2236 | 2020-10-28 |
| 1851990436 | Bv/mstar Caledonia Tenant, LLC | Alzheimer Center (Dementia Center) | 5737 Erie St, Racine, WI 53402-1970 | 2020-10-23 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1639784366 | Kati Dobbs | In Home Supportive Care | 1226 Grove Ave, Racine, WI 53405-3043 | 2020-09-10 |
| 1932719580 | Wheaton Franciscan Healthcare Southeast Wisconsin Inc | Clinic/Center | 2333 Northwestern Ave Ste 115, Racine, WI 53404-2520 | 2020-08-07 |
| 1700494689 | Rebecca J Burchi | Student in an Organized Health Care Education/Training Program | 3004 Olive St, Racine, WI 53403-2826 | 2020-07-16 |
| 1396365128 | Paige Harpenau | Physical Therapy Assistant | 4821 Tanglewood Ave, Racine, WI 53402-2544 | 2020-04-22 |
| Find all providers in RACINE | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548659303 | Tia Derflinger | Physician Assistant | 3803 Spring Street, Racine, WI 53405 | 2015-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120204 | Nathan C Clapper | Physician Assistant | 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 | 2014-10-31 |
| 1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
| 1477824472 | Andrea Jo Pitzl | Physician Assistant | 3208 36th Ave Ne, St Anthony, MN 55418-1713 | 2012-01-23 |
| 1447560693 | Jeanine Marie Edstrom | Physician Assistant | 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 | 2010-10-20 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1194042390 | Gerald Frederick Anderson | Physician Assistant | 4060 Haines Rd, #104, Duluth, MN 55811-1746 | 2010-04-27 |
| 1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
| 1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
| 1790922755 | Jenelle Cecilia Rock | Physician Assistant | 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 | 2009-01-13 |
| 1174775514 | Nathan J Nistler | Physician Assistant | 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 | 2008-10-16 |
| Find all providers with the same taxonomy | ||||
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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.