JACQUELINE RENE MILLER (NPI# 1659818631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659818631 |
| Entity Type | Individual |
| Full Name | JACQUELINE RENE MILLER |
| Credential | ATC |
| Practice Address |
2610 Associated Rd Apt A4 Fullerton CA 92835 |
| Mailing Address |
5210 E Hampton Ave Apt 1137 Mesa AZ 85206-3453 |
| Practice Telephone | 2095432272 |
| Mailing Telephone | 2095432272 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902466493 | Jacqueline Celia Miller | Behavior Technician | 1500 21st Ave S Ste 2600b, Nashville, TN 37212-3160 | 2019-06-17 |
| 1871067199 | Jacqueline Frances Miller | Nurse Practitioner | 148 Sierra St, Ardmore, OK 73401-7275 | 2019-01-21 |
| 1013497247 | Jacqueline Faith Miller | Behavior Technician | 641 Wyngate Ln, Buffalo Grove, IL 60089-1444 | 2018-08-16 |
| 1538581343 | Jacqueline Miller | Occupational Therapist | 1020 Ne Shady Brook Ct, Bremerton, WA 98311-8746 | 2014-01-14 |
| 1689979486 | Jacqueline Nichole Miller | Registered Nurse | 237 W Schrock Rd Ste B, Westerville, OH 43081-2874 | 2011-01-26 |
| 1730401159 | Jacqueline M Miller | Pediatrics | 11315 S Glen Rd, Potomac, MD 20854-1849 | 2010-02-26 |
| 1699009787 | Jacqueline Mary Miller | Nurse Practitioner | 245 Edgartown- Vineyard Haven Road, Island Health Care, Edgartown, MA 02539 | 2009-09-23 |
| 1528201969 | Jacqueline Joy Miller | Pediatrics | 13 Red Maple Ct, Owings Mills, MD 21117-1433 | 2009-04-15 |
| 1407014012 | Jacqueline R. Miller | Speech-Language Pathologist | 6207 Nottaway Dr, Shreveport, LA 71119-6216 | 2008-05-30 |
| 1881888790 | Jacqueline Lee Miller | Speech-Language Pathologist | 2700 N. Anthem Way, Florence, AZ 85232 | 2007-09-04 |
| Street Address |
2610 ASSOCIATED RD APT A4 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| 1720427511 | John Marius Bodnar | Dentist | 2607 Taft Court, Fullerton, CA 92835 | 2013-06-14 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184284432 | Yen Po Wang | Specialist/Technologist | 1920 Celeste Ln, Fullerton, CA 92833-1808 | 2019-06-18 |
| 1215436068 | Chaz Kekipi | Specialist/Technologist | 1200 S Highland Ave Apt 141, Fullerton, CA 92832-2993 | 2018-02-07 |
| 1588185789 | Justin Hostert | Specialist/Technologist | 1106 Kroeger Ave, Fullerton, CA 92831-2836 | 2017-06-28 |
| 1427401173 | Claudio Martin Jr. | Specialist/Technologist | 1500 W Valencia Dr, Fullerton, CA 92833-3941 | 2016-07-18 |
| 1417314451 | James Allen Gentry Jr. | Specialist/Technologist | 901 W Baker Ave, Fullerton, CA 92832-3107 | 2016-01-21 |
| 1699162453 | Isabel Archuleta | Specialist/Technologist | 223 W Wilshire Ave, Fullerton, CA 92832-1802 | 2015-04-20 |
| 1184021982 | Tyler Golden | Specialist/Technologist | 2472 Cambridge Ave, Fullerton, CA 92835-3140 | 2014-11-24 |
| 1578758892 | Kimberly Ann Jaramillo | Specialist/Technologist | 2500 Nutwood Ave, Fullerton, CA 92831-3104 | 2007-09-10 |
| 1205866779 | Juan E. Cuevas | Specialist/Technologist | 321 E Chapman Ave, Fullerton, CA 92832-2011 | 2006-07-03 |
| 1083641013 | Tricia Mikiko Kasamatsu | Specialist/Technologist | 800 N State College Blvd, Attn: Kinesiology, Fullerton, CA 92831-3547 | 2006-06-26 |
| Find all providers in FULLERTON | ||||
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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.