DR. NICOLE M MILLER (NPI# 1841293560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841293560 |
| Entity Type | Individual |
| Full Name | DR. NICOLE M MILLER |
| Credential | MD |
| Practice Address |
2002 Brookside Dr Suite 200 Kingsport TN 37660-4634 |
| Mailing Address |
215 E Springbrook Dr Johnson City TN 37601-1761 |
| Practice Telephone | 4235307970 |
| Practice Fax Number | 4235307971 |
| Mailing Telephone | 4235307970 |
| Mailing Fax Number | 4237941820 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD 29248 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1841293560 | 05 | |
| TN | Q003271 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745324 | Nicole Miller | Physical Therapist | 660 Nassau Park Blvd # 26c, Princeton, NJ 08540-5949 | 2020-09-23 |
| 1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
| 1306301403 | Nicole Michelle Miller | Behavioral Analyst | 9725 E Hampden Ave Ste 101, Denver, CO 80231-4916 | 2019-02-04 |
| 1164901971 | Nicole Miller | Occupational Therapist | 3387 Ella St, Deckerville, MI 48427-7720 | 2018-08-13 |
| 1235616293 | Nicole Christine Miller | Nurse Practitioner | 21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 | 2018-07-23 |
| 1174009484 | Nicole Ann Miller | Psychologist | 2075 E West Maple Rd Ste B-208, Commerce Township, MI 48390-3816 | 2018-07-19 |
| 1649797465 | Nicole Miller | Counselor | 3495 Piedmont Rd Ne Ste 708, Atlanta, GA 30305-1717 | 2017-08-23 |
| 1255882148 | Nicole Miller | Hearing Instrument Specialist | 174 Mountain Ave, Suite 3, Hackettstown, NJ 07840-2412 | 2016-10-17 |
| 1093263907 | Nicole Miller | Nurse Practitioner | 137 Crystal Beach Dr, Destin, FL 32541-3569 | 2016-09-20 |
| 1275080442 | Nicole Marie Miller | Chiropractor | 544 S Gaylord St, Denver, CO 80209-4626 | 2016-09-06 |
| Street Address |
2002 BROOKSIDE DR SUITE 200 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649641200 | Sam W. Huddleston Iv Md PC | Specialist | 2002 Brookside Dr, Suite# 201, Kingsport, TN 37660-4634 | 2015-10-08 |
| 1487050233 | Natasha Benfield Gouge | Psychologist | 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 | 2014-11-06 |
| 1992105431 | Bblue Ridge Medical Management Corporation | Pediatrics | 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 | 2014-09-03 |
| 1659706208 | Ashley H Begley | Nurse Practitioner | 2002 Brookside Dr, Kingsport, TN 37660-4634 | 2013-09-13 |
| 1346686763 | Blue Ridge Medical Management Corporation | Specialist | 2002 Brookside Dr, Suite 300a, Kingsport, TN 37660-4634 | 2013-05-13 |
| 1538378005 | Janice Louise Yeager | Registered Nurse | 2002 Brookside Dr, Suite 300, Kingsport, TN 37660-4634 | 2007-05-22 |
| 1639210222 | Sathiyendran Poobalasingham | Internal Medicine | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 | 2007-02-08 |
| 1902918717 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 2002 Brookside Dr, Suite 101, Kingsport, TN 37660-4634 | 2006-08-31 |
| 1659382885 | Blue Ridge Medical Management Corporation | Obstetrics & Gynecology | 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 | 2006-08-11 |
| 1548270879 | Blue Ridge Medical Management Corporation | Obstetrics & Gynecology | 2002 Brookside Dr, Ste 300, Kingsport, TN 37660-4634 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346484862 | Sarah S Youssef | Pediatrics | 105 W Stone Dr Ste 2a, Kingsport, TN 37660 | 2009-04-28 |
| 1124045646 | Arthur Garrett | Pediatrics | 2212 N John B Dennis Pkwy, Kingsport, TN 37660-5894 | 2006-07-17 |
| 1689677304 | Joseph Ley | Pediatrics | 105 West Stone Drive, Ste 2a, Kingsport, TN 37660-6027 | 2005-05-27 |
| 1538162359 | Amy L Marlow | Pediatrics | 2002 Brookside Dr Ste 200, Kingsport, TN 37660-4634 | 2005-05-24 |
| 1992105431 | Bblue Ridge Medical Management Corporation | Pediatrics | 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 | 2014-09-03 |
| 1962846519 | Danielle Lauren Street | Pediatrics | 105 W Stone Dr Ste 2a, Kingsport, TN 37660-3365 | 2013-04-25 |
| 1396049938 | Blue Ridge Medical Management Corporation | Pediatrics | 2204 Pavilion Dr, Suite 210, Kingsport, TN 37660-4657 | 2010-12-22 |
| 1063730943 | Jennifer A Rose | Pediatrics | 2002 Brookside Dr Ste 200, Kingsport, TN 37660-4634 | 2010-05-17 |
| 1083870539 | Brittney R Terry | Pediatrics | 2002 Brookside Dr Ste 200, Kingsport, TN 37660-4634 | 2008-08-04 |
| 1669661120 | Rodney J. Watson, M.d., Mpllc | Pediatrics | 2212 N John B Dennis Hwy, Kingsport, TN 37660-5894 | 2007-10-22 |
| Find all providers in KINGSPORT | ||||
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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.