JACEN PATRICK MILLETTE (NPI# 1407374218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407374218 |
| Entity Type | Individual |
| Full Name | JACEN PATRICK MILLETTE |
| Practice Address |
1441 Red Barn Way Beavercreek OH 45434 |
| Mailing Address |
1441 Red Barn Way Beavercreek Township OH 45434-5650 |
| Practice Telephone | (937) 414-5269 |
| Mailing Telephone | 9374145269 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1441 RED BARN WAY |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447618079 | Patricia Wathen | Speech-Language Pathologist | 2498 Dayton Xenia Rd., Beavercreek, OH 45434 | 2016-02-10 |
| 1295126027 | Taylor Shears | Behavioral Analyst | 608 Phillips Drive, Beavercreek, OH 45434 | 2015-02-16 |
| 1376943308 | Barbara Cantwell | Speech-Language Pathologist | 2660 Dayton-xenia Rd, Beavercreek High School, Beavercreek, OH 45434 | 2014-08-27 |
| 1396028783 | Shawna M White | Physical Therapist | 3224 Dayton Xenia Road, Suite 120, Beavercreek, OH 45434 | 2011-09-22 |
| 1790063444 | Amy Michelle Williamson | Licensed Practical Nurse | 2111 Beaver Valley Rd., Beavercreek, OH 45434 | 2011-07-29 |
| 1730311333 | Victoria T Strickland | Physical Therapist | 810 Orchard Ln Ste 201, Beavercreek Township, OH 45434 | 2009-08-14 |
| 1487892964 | Emily Elizabeth Hendrickson | Nurse Practitioner | 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | 2009-01-22 |
| 1326237066 | Linda M. Rauch | Counselor | 3095 Dayton-xenia Rd., Suite 600, Beavercreek, OH 45434 | 2007-10-18 |
| 1942413919 | John Edward Seeley | Specialist/Technologist | 2621 Patrick Henry Drive, Beavercreek, OH 45434 | 2007-05-07 |
| 1629179270 | Therapy Connections, LLC | Physical Therapist | 2498 Dayton Xenia Rd, Beavercreek, OH 45434 | 2006-09-26 |
| Find all providers in zip 45434 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
| 1588271886 | Kenneth Knoechel | Student in an Organized Health Care Education/Training Program | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2020-09-30 |
| 1568091254 | Emily Mahran | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-03 |
| 1124656327 | Alexander Joseph Koehler | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-01 |
| 1013545540 | Michelle Renee Axe | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-30 |
| 1104454982 | Emily Rawlings | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1720616428 | Kyler Benjamin Dykes | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1205463205 | Chelsea Brunsman | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
| 1982232807 | Nimisha Swali | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45434 |
Please comment or provide details below to improve the information on JACEN PATRICK MILLETTE.
| 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.