MRS. JESSIE F MILES (NPI# 1619983350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619983350 |
| Entity Type | Individual |
| Full Name | MRS. JESSIE F MILES |
| Credential | PA-C |
| Practice Address |
14200 W Celebrate Life Way Goodyear AZ 85338-3007 |
| Practice Telephone | 6232073161 |
| Mailing Telephone | 6232073161 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3117 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14200 W CELEBRATE LIFE WAY |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648632 | Jennifer Lou Spicer | Physician Assistant | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2005-06-01 |
| 1831714989 | Jeremy Michael Gerber | Pharmacist | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2020-06-15 |
| 1477107613 | Matthew Ryan Spenla | Anesthesiology | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2019-07-25 |
| 1366920035 | Chelsey May Mccauley | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338 | 2018-08-03 |
| 1649756396 | Sara Schumacher | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-16 |
| 1497231369 | Samantha Peterson | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-13 |
| 1962864397 | Jeffrey Paulus | Anesthesiology | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2016-03-24 |
| 1346617826 | Sarah Kristofik | Genetic Counselor, MS | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2015-08-31 |
| 1972911022 | Jordan Waypa | Nurse Practitioner | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2014-07-31 |
| 1780947028 | Vishangi Dave | Internal Medicine | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992035802 | Jenna Lee Lightfoot | Physician Assistant | 14541 W Indian School Rd Ste 600, Goodyear, AZ 85395 | 2009-12-28 |
| 1053430876 | Stacie Lyn Patterson | Physician Assistant | 13677 W. Mc Dowell Road, 201, Goodyear, AZ 85395 | 2007-03-29 |
| 1881099877 | Estrella Internal Medicine and Pediatrics | Physician Assistant | 14541 W Indian School Rd, Suite 600, Goodyear, AZ 85395-9243 | 2014-11-03 |
| 1619305349 | Jennifer Marie Solano | Physician Assistant | 14541 W Indian School Rd, Suite 600, Goodyear, AZ 85395-9243 | 2013-10-15 |
| 1578873519 | Kelvin Coleman | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2010-10-08 |
| 1447566302 | Danielle Moller | Physician Assistant | 13555 W Mcdowell Rd, #302, Goodyear, AZ 85395-2624 | 2010-08-29 |
| 1053576991 | Yvette Thorson | Physician Assistant | 13555 W Mcdowell Rd, 104, Goodyear, AZ 85395-2624 | 2008-07-21 |
| 1285802363 | Beth Payne Dean | Physician Assistant | 13555 W Mcdowell Rd, Suite 304, Goodyear, AZ 85395-2624 | 2008-02-12 |
| 1982710240 | Sondra Suzette Andersen | Physician Assistant | 13555 W Mcdowell Rd, Suite 104, Goodyear, AZ 85395-2624 | 2006-08-21 |
| 1831126044 | Ann M Voght | Physician Assistant | 14415 W Mcdowell Rd, Suite D102, Goodyear, AZ 85395-2521 | 2006-06-26 |
| Find all providers in GOODYEAR | ||||
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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.