TRACEY M MILLER (NPI# 1679523146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679523146 |
| Entity Type | Individual |
| Full Name | TRACEY M MILLER |
| Credential | ARNP MSN |
| Practice Address |
4123 Dutchmans Ln Ste.301 Louisville KY 40207 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5028962500 |
| Practice Fax Number | 5028962527 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
3002906 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
1075730 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265818892 | Tracey Denise-thoms Miller | Nurse Practitioner | 511 Cricket Ridge Ct, Duncan, SC 29334-8877 | 2015-08-05 |
| 1619214681 | Tracey Reynee Miller | Physical Therapy Assistant | 1130 Nantucket Rd, Venice, FL 34293 | 2013-01-11 |
| 1265687842 | Tracey Antoinette Miller | Physical Therapist | 11637 170th St, Apt. A, Jamaica, NY 11434-1819 | 2008-11-24 |
| 1083227375 | Tracey Miller | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2020-08-26 |
| 1104399351 | Tracey Lunsford Miller | Occupational Therapy Assistant | 1000 Litton Ln, Blacksburg, VA 24060-6399 | 2019-01-09 |
| 1699935171 | Tracey Leavens Miller | Speech-Language Pathologist | 807 Wilbraham Rd, Springfield, MA 01109-2067 | 2008-06-10 |
| 1588798078 | Tracey Miller | Social Worker | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2007-03-15 |
| 1710063409 | Tracey Miller | Physician Assistant | 16659 Southwest Fwy # 461, Sugar Land, TX 77479-2375 | 2006-10-27 |
| 1972696367 | Tracey L Miller | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2006-09-30 |
| 1942210208 | Tracey Deann Miller | Nurse Practitioner | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2006-08-09 |
| Street Address |
4123 DUTCHMANS LN STE.301 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022496 | Rhonda W. Howard | Nurse Practitioner | 4123 Dutchmans Ln, Suite 515, Louisville, KY 40207-4707 | 2005-06-02 |
| 1518509777 | Blair Kelly Wagner | Nurse Practitioner | 4123 Dutchmans Ln, Louisville, KY 40207-4707 | 2019-10-09 |
| 1750805966 | Patrick Mcrae | Nurse Practitioner | 4123 Dutchmans Ln, Louisville, KY 40207-4707 | 2017-07-29 |
| 1285006049 | Erin M Parker | Nurse Practitioner | 4123 Dutchmans Ln, Suite 101, Louisville, KY 40207-4707 | 2015-10-20 |
| 1831434455 | Eran Rosenberg | Urology | 4123 Dutchmans Ln, Suite 102, Louisville, KY 40207 | 2012-12-07 |
| 1790076487 | Katherine E Caldwell | Pediatrics | 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 | 2011-04-28 |
| 1851690846 | Angela Marie Cox | Pediatrics | 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 | 2011-03-16 |
| 1467759035 | Jaclyn Haley Alexander | Nurse Practitioner | 4123 Dutchmans Ln, Ste. 300, Louisville, KY 40207-4707 | 2011-02-17 |
| 1306152939 | Ansel Tsung Jin Tjin-a-tam | Pediatrics | 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 | 2010-08-19 |
| 1790002517 | Daniel Nathan Ginn | Obstetrics & Gynecology | 4123 Dutchmans Ln, Ste. 300, Louisville, KY 40207-4707 | 2010-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649882689 | Margaret Ann Glaser | Nurse Practitioner | 4123 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | 2020-08-20 |
| 1427080795 | Susan H Patel | Nurse Practitioner | 301 S Floyd St, Suite 804, Louisville, KY 40202 | 2006-07-07 |
| 1841890993 | Katherine Scott Passafiume | Nurse Practitioner | 231 E Chestnut St, Louisville, KY 40202-1821 | 2020-10-28 |
| 1013515261 | Wesley Thomas | Nurse Practitioner | 231 E Chestnut St, Louisville, KY 40202-1821 | 2020-10-10 |
| 1326500737 | Ashley Nichole Losch | Nurse Practitioner | 231 E Chestnut St, Louisville, KY 40202-1821 | 2019-04-03 |
| 1750805966 | Patrick Mcrae | Nurse Practitioner | 4123 Dutchmans Ln, Louisville, KY 40207-4707 | 2017-07-29 |
| 1225481054 | Jennifer Marie Hockensmith | Nurse Practitioner | 571 S Floyd St, Suite #342, Louisville, KY 40202-3818 | 2016-07-17 |
| 1144673161 | Emily Pinkham | Nurse Practitioner | 231 E Chestnut St, Louisville, KY 40202-1821 | 2016-07-14 |
| 1528411550 | Haley Ward | Nurse Practitioner | 231 E Chestnut St, Louisville, KY 40202-1821 | 2016-07-14 |
| 1316323900 | Sherri Lynn Lammerding | Nurse Practitioner | 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 | 2015-08-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.