TABATHA MILLER (NPI# 1649714353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649714353 |
| Entity Type | Individual |
| Full Name | TABATHA MILLER |
| Credential | LMT |
| Practice Address |
436 N Main St Wasilla AK 99654-7018 |
| Mailing Address |
436 N Main St Wasilla AK 99654 |
| Practice Telephone | 9073768020 |
| Mailing Telephone | 9073768020 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 104513 | AK | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942730205 | Tabatha Lynn Miller | Licensed Practical Nurse | 2470 Allen Avenue, North Pointe Council, Niagara Falls, NY 14303 | 2017-06-19 |
| 1962047019 | Tabatha Marie Miller | Social Worker | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-11-13 |
| Street Address |
436 N MAIN ST |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417993585 | William David W. Browne | Chiropractor | 436 N Main St, Wasilla, AK 99654-7018 | 2006-06-20 |
| 1073122966 | Jessica Johnson | Massage Therapist | 436 N Main St, Wasilla, AK 99654-7018 | 2020-07-27 |
| 1326685769 | Dillon James Ingham | Chiropractor | 436 N Main St, Wasilla, AK 99654-7018 | 2019-12-04 |
| 1033768353 | Darla M Velador | Massage Therapist | 436 N Main St, Wasilla, AK 99654-7018 | 2019-09-09 |
| 1669035903 | Stace Lee Elizabeth Moore | Massage Therapist | 436 N Main St, Wasilla, AK 99654-7018 | 2019-04-22 |
| 1871053520 | Paula Jones | Massage Therapist | 436 N Main St, Wasilla, AK 99654-7018 | 2019-03-20 |
| 1801369996 | Chanel Ching | Massage Therapist | 436 N Main St, Wasilla, AK 99654-7018 | 2019-01-10 |
| 1073085940 | Sandra Lapp | Massage Therapist | 436 N Main St, Wasilla, AK 99654-7018 | 2018-12-17 |
| 1699242917 | Megan Baker | Massage Therapist | 436 N Main St, Wasilla, AK 99654-7018 | 2018-10-24 |
| 1417423385 | Jeremiah Torres | Massage Therapist | 436 N Main St, Wasilla, AK 99654-7018 | 2018-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497202279 | Devan Clark | Specialist | 3540 N Snow Goose Dr, Wasilla, AK 99654-2505 | 2016-09-08 |
| 1114323227 | Amy Mclane | Specialist | 2801 E Palmer Wasilla Hwy Ste C, Wasilla, AK 99654-7339 | 2014-11-17 |
| 1003111089 | Meda Ferrenburg | Specialist | 4420 E Grumman Cir, Wasilla, AK 99654-4363 | 2011-01-21 |
| 1679737589 | Howling Down The Moon | Specialist | 1375 E Parks Hwy Ste A, Wasilla, AK 99654-8288 | 2008-07-10 |
| 1508089046 | Medical Network of Alaska, LLC | Specialist | 3122 E Meridian Park Loop, Wasilla, AK 99654-7255 | 2007-04-11 |
| 1538206164 | Jeffrey L Sponsler | Specialist | 4551 E Bogard Rd, Wasilla, AK 99654-6075 | 2007-01-31 |
| 1154418945 | Charles D. Layman | Specialist | 5050 Dunbar Drive, Suite D, Wasilla, AK 99654 | 2006-10-05 |
| 1699218651 | Wendy Denise Stover | Specialist | 436 N Main St, Wasilla, AK 99654-7018 | 2016-11-23 |
| 1639625957 | Candice Hilty | Specialist | 300 Main St, Wasilla, AK 99654 | 2016-08-28 |
| 1902350861 | Kerri Denney | Specialist | 300 N Main St, Wasilla, AK 99654-7017 | 2016-08-09 |
| Find all providers in WASILLA | ||||
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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.