MARY MILLER (NPI# 1700283462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700283462 |
| Entity Type | Individual |
| Full Name | MARY MILLER |
| Practice Address |
4710 Eastman Ave Midland MI 48640 |
| Mailing Address |
7876 Bonny Dr Saginaw MI 48609-4911 |
| Practice Telephone | 9893411072 |
| Mailing Telephone | 9892952553 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2601001635 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096002916 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 358 Georgetown Dr, Cary, IL 600133344 | 9892952553 | |
| 7876 Bonny Dr, Saginaw, MI 486094911 | 9892952553 |
| 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 |
4710 EASTMAN AVE |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831534403 | Midland Chiropractic | Chiropractor | 4710 Eastman Ave, Midland, MI 48640 | 2013-05-08 |
| 1619503885 | Shane Meyers | Chiropractor | 4710 Eastman Ave, Midland, MI 48640-2606 | 2020-03-19 |
| 1881107522 | Eric Paul Fridline | Physical Therapist | 4710 Eastman Ave, Midland, MI 48640-2606 | 2017-11-15 |
| 1952774739 | Courtney Wilson | Acupuncturist | 4710 Eastman Ave, Midland, MI 48640-2606 | 2015-11-03 |
| 1851764666 | Midland Physical Therapy Sports Rehab | Physical Therapist | 4710 Eastman Ave, Midland, MI 48640-2606 | 2015-11-03 |
| 1417381070 | Midland Chiropractic | Chiropractor | 4710 Eastman Ave, Midland, MI 48641 | 2013-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| 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 |
|---|---|---|---|---|
| 1053895300 | Kimberly Gibson | Specialist/Technologist | 1412 Mockingbird Ln Apt J202, Midland, TX 79705-2065 | 2018-09-22 |
| 1679067136 | Jared Slater | Specialist/Technologist | 4401 N Campus Rdg Dr Ste D2000, Midland, MI 48640-6195 | 2018-06-19 |
| 1790295970 | Lucas Michael Shelton | Specialist/Technologist | 5905 Summerset Dr, Midland, MI 48640-2947 | 2017-10-02 |
| 1417363557 | Katelin Hawthorne | Specialist/Technologist | 120 Wildwood Rd, Midland, PA 15059-2200 | 2014-07-09 |
| 1679988505 | Jami Stanton | Specialist/Technologist | 3005 Whitewood Dr, Midland, MI 48642-6670 | 2014-06-30 |
| 1992098347 | Tina Marie Nestle | Specialist/Technologist | 1629 S 4 3/4 Mile Rd, Midland, MI 48640-8311 | 2011-05-18 |
| 1083797831 | Stephen Andrew Cripe | Specialist/Technologist | 4000 Whiting Dr, Northwood University, Midland, MI 48640-6634 | 2006-10-23 |
| 1952865347 | Andrea Nielsen | Specialist/Technologist | 5615 Deauville Ste 220, Midland, TX 79706-2707 | 2019-01-30 |
| 1912482209 | Brandon Henry Rayne | Specialist/Technologist | 3600 N Garfield St, Midland, TX 79705-6329 | 2018-10-02 |
| 1508371071 | Kirstin Robinson | Specialist/Technologist | 555 W Wackerly St Ste 2600, Midland, MI 48640-4710 | 2017-12-06 |
| Find all providers in MIDLAND | ||||
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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.