KIM MILLER (NPI# 1285638262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285638262 |
| Entity Type | Individual |
| Full Name | KIM MILLER |
| Credential | APN/CNP |
| Practice Address |
1200 N State Highway 121 Mt Zion IL 62549-1224 |
| Practice Telephone | 2178645531 |
| Practice Fax Number | 2178642449 |
| Mailing Telephone | 2178645531 |
| Mailing Fax Number | 2178642449 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2011-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209004811 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036068658 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021137 | Kim Miller | Counselor | 748 Timber Creek Rd, Dixon, IL 61021-9564 | 2019-06-07 |
| 1295073047 | Kim Miller | Social Worker | 100 Atapahoe Ave #7, Boulder, CO 80302 | 2013-01-28 |
| 1285640854 | Kim Miller | Physical Therapist | 113 Hilltop Village Center Dr, Suite B, Eureka, MO 63025-1108 | 2006-08-01 |
| 1154349934 | Kim M Miller | Chiropractor | 1022 N Jesse James Rd, Excelsior Springs, MO 64024-1202 | 2006-07-18 |
| 1003840711 | Kim C Miller | Chiropractor | 130 Front St, Suite B, Vestal, NY 13850-1562 | 2006-07-10 |
| 1437125663 | Kim A Miller | Dentist | 1010 High House Rd, Suite 200, Cary, NC 27513-3576 | 2006-02-27 |
| 1053319947 | Kim Patricia Miller | Clinical Neuropsychologist | 1160 5th Ave, Apt 112, New York, NY 10029-6933 | 2005-07-13 |
| 1801899372 | Kim C Miller | Radiology | 1661 International Dr, Suite 350, Memphis, TN 38120-1430 | 2005-05-27 |
| 1558909929 | Kim Miller | Counselor | 59 Throckmorton St, Freehold, NJ 07728-1946 | 2019-12-17 |
| 1336699503 | Kim Elaine Miller | Counselor | 15 S 9th St, Lebanon, PA 17042-5104 | 2016-10-11 |
| Street Address |
1200 N STATE HIGHWAY 121 |
| City | MT ZION |
| State | IL |
| Zip Code | 62549-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053648642 | Julia K Auton | Nurse Practitioner | 1200 N State Highway 121, Mt Zion, IL 62549-1224 | 2009-11-03 |
| 1699779538 | Daniel Burtion Smith | Family Medicine | 1200 N State Highway 121, Mt Zion, IL 62549-1224 | 2005-06-09 |
| 1053315812 | Craig Elliot Brown | Family Medicine | 1200 N State Highway 121, Mt Zion, IL 62549-1224 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209675 | Charles Howard Stone | Dentist | 108 Ashland Ave., Mt. Zion, IL 62549 | 2008-10-07 |
| 1730340498 | Jacob David Sams | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2008-06-24 |
| 1154511517 | Donald Nicholas Sullivan | Orthopaedic Surgery | 104 Ashland, Mt Zion, IL 62549 | 2007-07-31 |
| 1417169681 | Temmen Advanced Eye Care LLC | Optometrist | 1505 W Main, Mt Zion, IL 62549 | 2007-05-03 |
| 1124160247 | Peter L Paulson | Dentist | 1465 East Village Parkway, Mount Zion, IL 62549 | 2007-02-13 |
| 1568563666 | Russell John Proesel | Dentist | 420 Broadway, Mt Zion, IL 62549 | 2006-09-25 |
| 1497789572 | Dennis Ryan Vaughn | Podiatrist | 1640 North State Highway 121, Mt. Zion, IL 62549 | 2006-07-11 |
| 1831605096 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 1505 W Main St, Mt Zion, IL 62549 | 2017-12-22 |
| 1336586114 | Decatur Orthopedic Center, LLC | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2013-06-03 |
| 1336284736 | Timothy Delbert Busey | Optometrist | 1505 W Main St, Mt Zion, IL 62549 | 2007-02-21 |
| Find all providers in zip 62549 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811215346 | Patricia R Baggett | Nurse Practitioner | 4248 Mt Zion Rd, Mt Zion, GA 30150-0658 | 2010-05-07 |
| 1245765296 | Kelsey Marie Thacker | Nurse Practitioner | 104 E Ashland Ave, Mt Zion, IL 62549-1271 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| 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.