MS. CONNIE GENE MILLER (NPI# 1770564635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770564635 |
Entity Type | Individual |
Full Name | MS. CONNIE GENE MILLER |
Credential | LMSW CADC |
Practice Address |
1115 B St Plummer ID 83851 |
Mailing Address |
3405 N Park Rd Spokane Valley WA 99212-1508 |
Practice Telephone | 2086861449 |
Mailing Telephone | 5099270497 |
Enumeration Date | 2005-11-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CADC 1088005 | ID | Behavioral Health & Social Service Providers |
X | 104100000X | Social Worker | LMSW 25983 | ID | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801495056 | Connie L Miller | Registered Nurse | 5825 Catalpa Ave, Ridgewood, NY 11385-5001 | 2020-10-20 |
1871910661 | Connie Miller | Nurse Practitioner | 4406 Lauren Way, Frisco, TX 75035-5752 | 2014-03-18 |
1215077565 | Connie Anne Miller | Occupational Therapist | 15802 Parkview Place N, Surprise, AZ 85374-7466 | 2007-02-07 |
1285770305 | Connie M Miller | Nurse Practitioner | 1504 Stinson Ave, Cheyenne, WY 82001-3319 | 2007-01-29 |
1124109137 | Connie J Miller | Speech-Language Pathologist | Fort Harrision Montana, 1892 Williams St, Fort Harrison, MT 59636 | 2006-10-17 |
1558918805 | Connie Marie Miller | Physical Therapist | 500 Cross St, Big Stone City, SD 57216-8237 | 2019-08-21 |
1073980009 | Connie Miller | Audiologist | 282 Washington St, Hartford, CT 06106-3322 | 2015-08-25 |
1295115590 | Connie Miller | Case Manager/Care Coordinator | 620 W Grand Ave, Ponca City, OK 74601-5123 | 2015-06-02 |
1760735781 | Connie Miller | Counselor | 3201 W. Keiser Ave, Osceola, AR 72370 | 2012-10-16 |
1811299613 | Connie Sue Miller | Registered Nurse | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2010-11-30 |
Street Address |
1115 B ST |
City | PLUMMER |
State | ID |
Zip Code | 83851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144216276 | Ginger Caroline Carpenter | Registered Nurse | 1115 B St, Plummer, ID 83851-0388 | 2005-09-23 |
1629262134 | Chanda Mae Heer | Registered Nurse | 1115 B St, Plummer, ID 83851 | 2007-08-29 |
1447231303 | Cathleen L Laplante | Dental Hygienist | 1115 B St, Plummer, ID 83851-0388 | 2005-11-08 |
1881675742 | Sharilyn J Kidder | Registered Nurse | 1115 B St, Plummer, ID 83851 | 2005-11-08 |
1760471783 | David M Holecek | Dentist | 1115 B St, Plummer, ID 83851-0388 | 2005-10-21 |
1932198223 | Maggie A Olson | Technician, Pathology | 1115 B St, Plummer, ID 83857-0388 | 2005-10-19 |
1821087115 | George S Robinson | Spec/Tech, Pathology | 1115 B St, Plummer, ID 83851 | 2005-10-19 |
1700874567 | Evie L Gardipe | Dental Assistant | 1115 B St, Plummer, ID 83851-0388 | 2005-10-06 |
1255328829 | Janet L Miller | Nurse's Aide | 1115 B St, Plummer, ID 83851 | 2005-09-29 |
1679560304 | Connie Michelle Nelson | Registered Nurse | 1115 B St, Plummer, ID 83851 | 2005-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326575325 | Terrin Loe | Dental Hygienist | 358-786 Long Road, Plummer, ID 83851 | 2017-05-22 |
1639542830 | Selene Bonnell-hall | Physical Therapy Assistant | 1100 A Street, Plummer, ID 83851 | 2015-11-10 |
1609245059 | Caley Jordan | Pharmacist | 427 N 12 St, Plummer, ID 83851 | 2015-09-16 |
1861741282 | Plummer Gateway Fire Protection | Ambulance | 609 Poleyard Rd, Plummer, ID 83851 | 2012-08-30 |
1497040349 | Jason Ford Chapman | General Practice | 427 N. 12th St., Plummer, ID 83851 | 2011-06-17 |
1861797060 | Tiffany Marie Korrer | Physical Therapy Assistant | 1100 A. Street, Plummer, ID 83851 | 2011-01-19 |
1710290234 | Brian Meyer | Optometrist | 427 Nth 12th St, Plummer, ID 83851 | 2010-07-26 |
1386884369 | James Smith | Clinical Medical Laboratory | 1115 E. St, Plummer, ID 83851 | 2009-03-03 |
1134378169 | Robert Samuel Davis | Physician Assistant | 427 N 12th St., Plummer, ID 83851 | 2008-09-15 |
1013192210 | Nikole J Mills | Nurse Practitioner | 427 N. 12th Street, Plummer, ID 83851 | 2008-01-07 |
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Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225697212 | Tonya Marie Amour-patton | Counselor | 427 12th St, Plummer, ID 83851-4000 | 2019-06-12 |
1013447671 | Joshua Michael Severns | Counselor | 427 N 12th Street, Plummer, ID 83851 | 2017-06-15 |
1881082501 | Jamie Loftis | Counselor | 427 N. 12th St., Plummer, ID 83851-0388 | 2015-01-05 |
1952709198 | Carl Printz | Counselor | 427 N 12th St, Plummer, ID 83851-0388 | 2014-12-19 |
1528326519 | Lovinia Alexander | Counselor | 1115 B Street, Plummer, ID 83851-0388 | 2012-04-26 |
1568739548 | Kristi Mathistad | Counselor | 1115 B Street, Plummer, ID 83851 | 2011-11-19 |
1013237189 | Jamie Dee Smith | Counselor | 427 12th St, Plummer, ID 83851-4000 | 2010-06-10 |
1760698013 | Sandra M Mcmichael | Counselor | 1115 B Street, Plummer, ID 83851-0388 | 2007-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1063049682 | Angela Lynn Seal | Counselor | 246 N Curlew Dr Apt 3105, Ammon, ID 83401-1434 | 2020-03-24 |
1437785607 | Tamra J Peterson | Counselor | 1246 Yellowstone Ave Bldg F, Pocatello, ID 83201-4374 | 2020-03-19 |
1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
1265078935 | Mary Amanda Jensen | Counselor | 3990 E 20 N, Rigby, ID 83442-5818 | 2019-11-18 |
1689218018 | D6 Treatment | Counselor | 1001 N 7th Ave Ste 260, Pocatello, ID 83201-5788 | 2019-10-29 |
1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
1902453509 | James Floyd Young | Counselor | 504 11th Ave S, Nampa, ID 83651-4243 | 2019-08-20 |
1508339409 | Joyce Ella Turnboom | Counselor | 3213 N Tamarack Dr, Boise, ID 83703-4543 | 2019-01-03 |
1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
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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.