MS. LARISSA MILLER (NPI# 1558787317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558787317 |
| Entity Type | Individual |
| Full Name | MS. LARISSA MILLER |
| Practice Address |
2611 Liberty Hill Rd Camden SC 29020-1871 |
| Mailing Address |
215 N Magnolia St Sumter SC 29150-4943 |
| Practice Telephone | 8034325323 |
| Practice Fax Number | 8037133978 |
| Mailing Telephone | 8037759364 |
| Mailing Fax Number | 8037736615 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
109794 | SC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 457633 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453889 | Larissa Catherine Miller | Psychologist | 2920 Alder St, Eugene, OR 97405-4146 | 2020-10-08 |
| 1356663827 | Larissa Kaye Miller | Physician Assistant | 1507 Briar Cottage Ct, Sugar Land, TX 77479-6024 | 2010-02-24 |
| 1750850517 | Larissa Shantaa Miller | Counselor | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2018-11-21 |
| Street Address |
2611 LIBERTY HILL RD |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659329274 | Kathryn Jayne Stevenson Funderburk | Social Worker | 2611 Liberty Hill Rd, Swcmhc/kershaw Cmhc, Camden, SC 29020-1871 | 2006-05-05 |
| 1811530546 | Shaundra Nicole Pickett | Counselor | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-10-25 |
| 1306496765 | Stephanie N Benenhaley | Counselor | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-09-18 |
| 1871151183 | Julie Anne Locklair | Social Worker | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-06-01 |
| 1346707361 | Michael Singleton | Social Worker | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-02-26 |
| 1063977254 | Kiley Nelson | Counselor | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2019-02-01 |
| 1477050409 | Franklin Fluker | Counselor | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2018-04-06 |
| 1578065561 | Cara Bibeault | Social Worker | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2018-03-06 |
| 1316476625 | Bertina Lynette Duke | Registered Nurse | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2017-06-08 |
| 1669873345 | Cynthia Nicole Bailey | Social Worker | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2014-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887167 | Alexis Collins | Registered Nurse | 1 Federal St # 200, Camden, NJ 08103-1088 | 2020-09-29 |
| 1265480693 | Carolyn S. Holloman | Registered Nurse | 2611 Liberty Hill Rd., Swcmhc/kershaw Cmhc, Camden, SC 29020 | 2006-05-05 |
| 1811300288 | April Saverance | Registered Nurse | 2611 Liberty Hill Rd, Camden, SC 29020-1871 | 2014-06-03 |
| 1386814770 | John Robert Moriarity | Registered Nurse | 400 Market St, Second Floor, Camden, NJ 08102-1526 | 2008-03-03 |
| 1780755769 | Marlene A Chelso | Registered Nurse | 3 Cooper Plz Rm 307, Camden, NJ 08103-1438 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773326 | Edith Bostic | Registered Nurse | 409 Paul St, Conway, SC 29527-5823 | 2019-10-31 |
| 1073167185 | Shyeasha Wilson | Registered Nurse | 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746 | 2019-07-26 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1689122640 | Chanelle M Johnson | Registered Nurse | 217 Gateway Ln, Columbia, SC 29210-7452 | 2016-09-19 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| 1902212251 | New Day Emotional Care, LLC | Registered Nurse | 2117 W Palmetto St Ste A, Florence, SC 29501-3902 | 2014-07-08 |
| 1194137091 | Carmen White-baltimore | Registered Nurse | 4794 Baltimore Pl, Charleston, SC 29418-3485 | 2014-05-27 |
| 1518381599 | Rosalinde M Rhynes | Registered Nurse | 3805 Saluda Rd, Rock Hill, SC 29730-7262 | 2014-02-11 |
| 1952654527 | Veronica Smith | Registered Nurse | 3473 Lockhart Hwy, Union, SC 29379-8526 | 2012-10-19 |
| 1154670586 | Karissa Ann Chorbajian | Registered Nurse | 248 Earle Dr, Greenville, SC 29611-4408 | 2012-08-30 |
| 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.