MICHELLE R MILLER (NPI# 1497759930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497759930 |
| Entity Type | Individual |
| Full Name | MICHELLE R MILLER |
| Credential | PA |
| Practice Address |
325 Mdg, 340 Magmolia Cir Tyndall, Afb FL 32403 |
| Practice Telephone | 6087976826 |
| Mailing Telephone | 6087976826 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1843 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1349 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41921900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857925 | Michelle A Miller | Registered Nurse | 865 Old Clemson Hwy, Seneca, SC 29672-8060 | 2020-10-07 |
| 1760089460 | Michelle Dawn Miller | Homemaker | 9932 Quarry Rd., Amherst, OH 44001 | 2020-10-06 |
| 1174120927 | Michelle Miller | Dental Hygienist | 3725 N Lighthouse Hill Ln, Fort Worth, TX 76179-3827 | 2020-10-05 |
| 1588270219 | Michelle Guadalupe Miller | Marriage & Family Therapist | 908 Elm St, El Cerrito, CA 94530-2904 | 2020-09-17 |
| 1780223958 | Michelle Hoiling Miller | Behavior Technician | 1925 S Vaughn Way Apt 319, Aurora, CO 80014-1359 | 2020-01-05 |
| 1093273062 | Michelle Miller | Physical Medicine & Rehabilitation | 1701 Llanfair Ave # Oh, Cincinnati, OH 45224-2972 | 2019-03-07 |
| 1356836688 | Michelle Robin Miller | Registered Nurse | 33 Bradman St, Auburn, ME 04210-6321 | 2018-06-28 |
| 1497102339 | Michelle Miller | Licensed Practical Nurse | 88 Depew St, Rochester, NY 14611-2403 | 2016-05-20 |
| 1154780005 | Michelle Miller | Pharmacist | 8345 Coachlight Dr, West Des Moines, IA 50266-8522 | 2016-02-21 |
| 1659737526 | Michelle Miller | Case Manager/Care Coordinator | 18833 Walker Dr, Howe, OK 74940-7461 | 2016-01-08 |
| Street Address |
325 MDG, 340 MAGMOLIA CIR |
| City | TYNDALL, AFB |
| State | FL |
| Zip Code | 32403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326408063 | Nathaniel Criddle | Dentist | 325 Aerospace Medicine Sq/sgpd, 340 Magnolia Circle Bldg 1465, Tyndall Afb, FL 32403 | 2016-02-23 |
| 1952730491 | Erick Laron Jackson | Physical Therapist | 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2013-11-05 |
| 1972830701 | Quan Tram | Pharmacist | 340 Magnolia Cirlcle, Tyndall Afb, FL 32403 | 2009-11-16 |
| 1952473308 | Robert Allen Frick | Family Medicine | 325th Medical Group 340 Magnolia Circle, Tyndall Afb, Panama City, FL 32403 | 2006-11-14 |
| 1285733907 | 325th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Magnolia Circle, Tyndall Afb, FL 32403 | 2006-09-21 |
| 1093737272 | Walter Edward Calvo | Social Worker | Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-07-24 |
| 1790727865 | Michelle Gautreaux | Nutritionist | 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2006-06-12 |
| 1568436962 | 325 Mdg | Psychologist | 325 Mdg Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1780658005 | Brant Casford | Radiology | 325 Mdg/sgsar Radiology, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1215911573 | Rama Bhyravabhotla | Physician Assistant | 325 Mdos/sgomf, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2005-12-01 |
| Find all providers in zip 32403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | TYNDALL, AFB |
| Zip Code | 32403 |
Please comment or provide details below to improve the information on MICHELLE R MILLER.
| 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.