SHONTAE LATRICE MILLER (NPI# 1235792490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235792490 |
Entity Type | Individual |
Full Name | SHONTAE LATRICE MILLER |
Practice Address |
19733 Annchester Rd Detroit MI 48219-2191 |
Practice Telephone | 2482380426 |
Mailing Telephone | 2482380426 |
Enumeration Date | 2019-04-15 |
Last Update Date | 2019-04-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | 80381 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
19733 ANNCHESTER RD |
City | DETROIT |
State | MI |
Zip Code | 48219-2191 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
Find all providers in zip 48219 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437396819 | Brandon Clinton Allen | Recreation Therapist | 12091 Sorrento St, Detroit, MI 48227-3751 | 2009-01-07 |
1255430674 | Silva A. Karapetian | Recreation Therapist | John D. Dingell Va Medical Center, 4646 John R. St, 553/11g-pm, Detroit, MI 48201 | 2006-09-22 |
1295202224 | Angela Elizabeth Scarponi | Recreation Therapist | 2925 Russell St, Detroit, MI 48207-4825 | 2018-10-29 |
1013491273 | Bridget Myke | Recreation Therapist | 2925 Russell St, Detroit, MI 48207-4825 | 2018-09-23 |
1689835126 | Marvin John Theile | Recreation Therapist | 4646 John R St, Detroit, MI 48201-1916 | 2008-06-18 |
1558400846 | Hollie Gilmore | Recreation Therapist | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2007-02-05 |
1508915505 | Starr Rebecca Caruthers | Recreation Therapist | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2007-01-09 |
1669521613 | Carrie Elaine Nance | Recreation Therapist | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2007-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861006728 | Tara Ann Fedewa | Recreation Therapist | 915 Laurelwood Dr, Lansing, MI 48917-7725 | 2020-09-08 |
1225651714 | Caroline Rose Marcon | Recreation Therapist | 15227 Payne Ct, Dearborn, MI 48126-3030 | 2020-05-19 |
1205469897 | Megan Groat | Recreation Therapist | 914 Lake Dr, Oxford, MI 48371-5716 | 2020-02-21 |
1215560040 | Ashley Melyn Phelps | Recreation Therapist | 6714 Northland Dr Ne, Rockford, MI 49341-9201 | 2020-02-20 |
1538708680 | Caylie Hosey | Recreation Therapist | 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 | 2020-01-06 |
1205480472 | Keilahna Castillo | Recreation Therapist | 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 | 2019-07-26 |
1134789514 | Cynthia Guzi | Recreation Therapist | 4469 Lutz Dr, Warren, MI 48092-1750 | 2019-06-18 |
1780244160 | Derenda Lefevre | Recreation Therapist | 3724 Noble Rd, Oxford, MI 48370-1514 | 2019-06-18 |
1407416886 | Jenna Black | Recreation Therapist | 28328 N Skye Dr, Farmington Hills, MI 48334-5335 | 2019-06-18 |
1225698608 | Carly Jane Rhodea | Recreation Therapist | 6906 Severance Rd, Cass City, MI 48726-9202 | 2019-06-18 |
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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.