CANDACE MILLER (NPI# 1679037584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679037584 |
| Entity Type | Individual |
| Full Name | CANDACE MILLER |
| Practice Address |
2411 Holmes St Kansas City MO 64108-2741 |
| Mailing Address |
7722 N Norton Ave Kansas City MO 64119-5464 |
| Practice Telephone | 8166452919 |
| Mailing Telephone | 8166452919 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2020027400 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133411 | Candace Joellen Miller | Health Educator | 141 33rd Ave S, Saint Cloud, MN 56301-3753 | 2020-01-23 |
| 1841779659 | Candace Miller | Audiologist-Hearing Aid Fitter | 2205 Silverside Rd Ste 4, Wilmington, DE 19810-4534 | 2018-08-13 |
| 1770091548 | Candace Miller | Behavior Technician | 356 Mclaws Cir Ste 2, Williamsburg, VA 23185-6345 | 2018-01-16 |
| 1497123871 | Candace Miller | Physician Assistant | 511 W Cordova Rd, Santa Fe, NM 87505-1843 | 2015-09-02 |
| 1477894707 | Candace Miller | Licensed Practical Nurse | 1835 Gilmore Ave, Lakeland, FL 33805-3017 | 2013-03-12 |
| 1942311709 | Candace J Miller | Dentist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2006-08-31 |
| 1033146121 | Candace Carter Miller | Registered Nurse | 10535 Hospital Way, Mather, CA 95655-4200 | 2006-06-26 |
| Street Address |
2411 HOLMES ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700883469 | Roger William Sommi Jr. | Pharmacist | 2411 Holmes St, Room M3-c19, Kansas City, MO 64108-2741 | 2005-07-07 |
| 1982229639 | Abdullah Said | Student in an Organized Health Care Education/Training Program | 2411 Holmes St, Kansas City, MO 64108-2741 | 2020-06-09 |
| 1255954079 | Nikhil Havaldar | Student in an Organized Health Care Education/Training Program | 2411 Holmes St, Kansas City, MO 64108-2741 | 2020-05-27 |
| 1518580372 | Benjamin Jonah Bernard | Student in an Organized Health Care Education/Training Program | 2411 Holmes St, Kansas City, MO 64108-2741 | 2020-05-27 |
| 1063040939 | Nikhil Dhall | Student in an Organized Health Care Education/Training Program | 2411 Holmes St, Kansas City, MO 64108-2741 | 2020-03-27 |
| 1699301325 | Suma Ancha | Student in an Organized Health Care Education/Training Program | 2411 Holmes St, Kansas City, MO 64108-2741 | 2020-03-13 |
| 1265067367 | Andrew Williams | Student in an Organized Health Care Education/Training Program | 2411 Holmes St, Kansas City, MO 64108-2741 | 2020-03-09 |
| 1689209892 | Sree M Lanka | Student in an Organized Health Care Education/Training Program | 2411 Holmes St, Kansas City, MO 64108-2741 | 2020-03-08 |
| 1457986895 | Alisha K Shah | Student in an Organized Health Care Education/Training Program | 2411 Holmes St, Kansas City, MO 64108-2741 | 2020-03-05 |
| 1194356469 | Tori Glover | Student in an Organized Health Care Education/Training Program | 2411 Holmes St, Kansas City, MO 64108-2741 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174944 | Sarah Christenson | Physician Assistant | 4515 Walnut St Apt 221d, Kansas City, MO 64111-7731 | 2020-05-06 |
| 1962023341 | Kaitlin Nicole Sutten | Physician Assistant | 6711 Nw Evelyn St, Kansas City, MO 64151-2115 | 2020-04-27 |
| 1255979613 | Michael Raymond Floyd Coody | Physician Assistant | 15 W 10th St Apt 1203, Kansas City, MO 64105-1895 | 2019-12-17 |
| 1437706652 | Hannah Marie Mentjes | Physician Assistant | 5004 Walnut St, Kansas City, MO 64112-2757 | 2019-08-22 |
| 1063981272 | Heather Howell | Physician Assistant | 10940 Parallel Pkwy Ste M, Kansas City, KS 66109-4515 | 2018-11-16 |
| 1194211144 | Nicholas Maxwell | Physician Assistant | 5330 N Oak Trfy Ste 201, Kansas City, MO 64118-4600 | 2018-07-02 |
| 1750873741 | Chelsea Johanson | Physician Assistant | 1901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2018-06-05 |
| 1235685975 | Stacey Schultz | Physician Assistant | 5330 North Oak Trfwy, Suite 201, Kansas City, MO 64118-4600 | 2016-09-01 |
| 1386096980 | Colleen Marie Sommer | Physician Assistant | 3901 Rainbow Blvd Level 3 Otolaryngology, Kansas City, KS 66160-0001 | 2016-07-07 |
| 1730500265 | Meghan L Fraley | Physician Assistant | 5844 Nw Barry Rd Ste 340, Kansas City, MO 64154-1402 | 2013-12-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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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.