MRS. MARY C. MILLER (NPI# 1659577450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659577450 |
| Entity Type | Individual |
| Full Name | MRS. MARY C. MILLER |
| Credential | NP |
| Practice Address |
1255 Liberty Street Redding CA 96001-0814 |
| Mailing Address |
Po Box 991950 Redding CA 96099-1950 |
| Practice Telephone | 5302462467 |
| Practice Fax Number | 5302429460 |
| Mailing Telephone | 5302462467 |
| Mailing Fax Number | 5302429460 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2012-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP636 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPF LICENSE | NP636 | 01 |
| CA | GR0079250 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093322166 | Mary Miller | Student in an Organized Health Care Education/Training Program | 27 Hurd Rd, Brookline, MA 02445-6911 | 2020-09-23 |
| 1396377123 | Mary Angela Miller | Dietitian, Registered | 560 Jacob Close, Gahanna, OH 43230-2884 | 2020-02-10 |
| 1063050516 | Mary Ann Miller | Assisted Living Facility | 4519 W Amanda Dr, Wasilla, AK 99623-1046 | 2019-12-16 |
| 1215585070 | Mary Mccall Miller | Technician | 9436 Sacramento Dr, New Port Richey, FL 34655-1619 | 2019-08-26 |
| 1467932186 | Mary Miller | Licensed Vocational Nurse | 1035 Fm 971, Georgetown, TX 78626-4520 | 2018-08-21 |
| 1467943019 | Mary Laborde Miller | Dentist | 2425 33rd Ave W, Seattle, WA 98199-3255 | 2018-05-18 |
| 1225540578 | Mary Katherine Miller | Registered Nurse | 100 Ucla Medical Plz Ste 730, Los Angeles, CA 90024-6995 | 2017-10-26 |
| 1306384466 | Mary Miller | Speech-Language Pathologist | 1585 Wedgewood Dr, Piqua, OH 45356-8592 | 2017-02-08 |
| 1437529518 | Mary Ellen Miller | Dietitian, Registered | 6505 Robbie Creek Cv, Austin, TX 78750-8130 | 2015-10-01 |
| Street Address |
1255 LIBERTY STREET |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265401541 | Jack David Schillen | Orthopaedic Surgery | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-03-17 |
| 1871784678 | Tony Li-wei Chang | Family Medicine | 1255 Liberty Street, Redding, CA 96001-0814 | 2007-08-06 |
| 1649345281 | Stephen J Doll | Physician Assistant | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-11-21 |
| 1215007661 | Alice E Brayshaw | Physician Assistant | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-11-09 |
| 1780796904 | Paul E Schwartz | Orthopaedic Surgery | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-09-01 |
| 1750493979 | Shasta Orthopaedics & Sports Medicine | Family Medicine | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-09-01 |
| 1366544595 | Stephen P Ferraro Jr. | Orthopaedic Surgery | 1255 Liberty Street, Redding, CA 96001-0814 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| 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 |
|---|---|---|---|---|
| 1750598603 | Denise Renee Pearson | Nurse Practitioner | 6969 Meadow Wood Trl, Redding, CA 96001-5339 | 2007-05-17 |
| 1174650758 | Sandra Diane Sammut | Nurse Practitioner | 1145 Whiskeytown Court, Suite A, Redding, CA 96001 | 2007-02-28 |
| 1073653861 | Martin Andrew Dawson | Nurse Practitioner | 2865 Churn Creek Rd, Suite B, Redding, CA 96002-1117 | 2007-02-08 |
| 1275501173 | Sandra Mackey | Nurse Practitioner | 2401 Hartnell Ave, Redding, CA 96002-2321 | 2006-03-08 |
| 1205822343 | Judith Ann Hall | Nurse Practitioner | 1100 Butte Street, Redding, CA 96001-0852 | 2005-09-23 |
| 1760486161 | Sally Trabert Chaney | Nurse Practitioner | 1901 Victor Ave, Redding, CA 96002-0412 | 2005-06-13 |
| 1730711516 | Taylor Marie Cardoza | Nurse Practitioner | 1035 Placer St, Redding, CA 96001-1170 | 2020-02-10 |
| 1316577893 | Taylor Nicole Dittman | Nurse Practitioner | 1035 Placer St, Redding, CA 96001-1170 | 2020-01-23 |
| 1679973903 | Sandra Lee Golles | Nurse Practitioner | 1145 Whiskeytown Ct, Suite A, Redding, CA 96001-0227 | 2014-08-22 |
| 1578974010 | Justin C Blumreich | Nurse Practitioner | 2107 Airpark Dr, Redding, CA 96001-2433 | 2014-05-19 |
| Find all providers in REDDING | ||||
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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.