MS. TRACI RAE MILLER (NPI# 1659379683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659379683 |
| Entity Type | Individual |
| Full Name | MS. TRACI RAE MILLER |
| Credential | RN, MSN, CRNP |
| Practice Address |
6095 Marshalee Dr Elkridge MD 21075-6053 |
| Mailing Address |
729 Pine Trl Arnold MD 21012-1628 |
| Practice Telephone | 4103793400 |
| Mailing Telephone | 4103403842 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2008-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R117726 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 211140300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528301298 | Traci L Miller | Pharmacist | 1919 E 3380 S, Salt Lake City, UT 84106-3968 | 2013-04-01 |
| 1275097693 | Traci Dawn Miller | Occupational Therapy Assistant | 437 Givler Dr, Martinsburg, PA 16662-1635 | 2019-01-30 |
| 1639583677 | Traci A Miller | Audiologist | 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 | 2014-06-18 |
| Street Address |
6095 MARSHALEE DR |
| City | ELKRIDGE |
| State | MD |
| Zip Code | 21075-6053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519963 | Mary Spangler | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2005-06-24 |
| 1275077083 | Susane Njomo | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-12-13 |
| 1083158042 | Kristopher Derbyshire | Nurse Practitioner | 6095 Marshalee Dr, United Health Group/optum, Elkridge, MD 21075-6053 | 2016-12-10 |
| 1023550308 | Angela Erin Knotts | Nurse Practitioner | 6095 Marshalee Dr, Suite 100, Elkridge, MD 21075-6053 | 2016-11-17 |
| 1235684325 | Traci Stokes | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-08-18 |
| 1164879904 | Illya Payne | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2016-05-23 |
| 1922461227 | Olasunmbo I Feyisetan | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075 | 2016-04-04 |
| 1457661449 | Jennifer Macadam | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2010-10-08 |
| 1366772964 | Jakarta A Blakeney | Nurse Practitioner | 6095 Marshalee Dr, Ste 100, Elkridge, MD 21075-6053 | 2010-01-04 |
| 1043540834 | Regina Clare Birch | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2009-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
| 1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
| 1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
| 1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
| 1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
| 1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
| Find all providers in zip 21075 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104475730 | Stella Oriaku | Nurse Practitioner | 7137 Millbury Ct, Elkridge, MD 21075-5567 | 2019-09-06 |
| 1700261161 | Amber Jobe | Nurse Practitioner | 7210 Elkridge Crossing Way, Elkridge, MD 21075-5423 | 2015-07-28 |
| 1497883441 | Lauri B Lonberger | Nurse Practitioner | 8119 Forever Green Court, Elkridge, MD 21075-6478 | 2007-03-01 |
| 1023550308 | Angela Erin Knotts | Nurse Practitioner | 6095 Marshalee Dr, Suite 100, Elkridge, MD 21075-6053 | 2016-11-17 |
| 1922461227 | Olasunmbo I Feyisetan | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075 | 2016-04-04 |
| 1043680325 | Ghana Ferguson | Nurse Practitioner | 6514 Meadowridge Rd, Elkridge, MD 21075-6115 | 2015-09-30 |
| 1356782882 | Madalaine J Medina | Nurse Practitioner | 6514 Meadowridge Rd, Elkridge, MD 21075-6115 | 2013-07-12 |
| 1003153750 | Mark M Kelley | Nurse Practitioner | 6514 Meadowridge Rd, Elkridge, MD 21075-6115 | 2013-01-14 |
| 1992842835 | Joyce B Vazzano | Nurse Practitioner | 6095 Marshalee Dr, Elkridge, MD 21075-6053 | 2007-01-31 |
| 1649287293 | Susanne W Gibbons | Nurse Practitioner | 8186 Lark Brown Road, Ste 201, Elkridge, MD 21075 | 2006-08-02 |
| Find all providers in ELKRIDGE | ||||
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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.