SHANNON C. MILLER (NPI# 1871603902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871603902 |
| Entity Type | Individual |
| Full Name | SHANNON C. MILLER |
| Credential | PA-C |
| Practice Address |
1201 S Miller St Wenatchee WA 98801-3201 |
| Mailing Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
| Practice Telephone | 5096638711 |
| Mailing Telephone | 5096638711 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA61086741 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058013 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094411 | Shannon Christine Miller | Respite Care | 1750 New Mexico St, Green River, WY 82935-6252 | 2020-08-22 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1528618469 | Shannon Lynn Miller | Technician | 31 E Claude Ct, Belfair, WA 98528-9123 | 2019-09-12 |
| 1093293862 | Shannon Lance Miller | Licensed Vocational Nurse | 133 Marilyn St, Nacogdoches, TX 75961-5448 | 2018-08-02 |
| 1194265868 | Shannon Miller | Social Worker | 2245 W Marquette Woods Rd, Stevensville, MI 49127-9586 | 2017-03-01 |
| 1215488275 | Shannon Miller | Social Worker | 752 Steeplechase Rd, Landisville, PA 17538-1536 | 2016-10-14 |
| 1407229800 | Shannon Miller | Occupational Therapist | 2176 Groveland Rd, Palm Harbor, FL 34683-3334 | 2015-11-06 |
| 1902298565 | Shannon Miller | Physician Assistant | 40674 Calle Cancion, Temecula, CA 92592-9472 | 2015-02-19 |
| 1871860239 | Shannon Miller | Psychologist | 709 Milan Hill Rd, Red Hook, NY 12571-4345 | 2011-11-29 |
| 1366774028 | Shannon Mj Miller | Speech-Language Pathologist | 8050 Corporate Cir Ste 4, North Royalton, OH 44133-1281 | 2010-02-05 |
| Street Address |
1201 S MILLER ST |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953530 | Craig A Pedersen | Pharmacist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2005-06-23 |
| 1861090144 | Wenatchee Emergency Physicians | Emergency Medicine | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-10-09 |
| 1922611466 | Shelbi Brough | Pharmacist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-08-25 |
| 1447862842 | Melonie Lam | Pharmacist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-08-18 |
| 1801408281 | Caprisse R Honsbruch | Pharmacist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-08-18 |
| 1225655376 | Lynda N Moncrief | Occupational Therapist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-07-06 |
| 1700403755 | Leah Fisher | Occupational Therapist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-06-25 |
| 1972128361 | Monica Castillo | Registered Nurse | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-06-11 |
| 1578184818 | Rachel Vora | Physical Therapist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-04-28 |
| 1073134300 | Erica Batjer | Speech-Language Pathologist | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
| Find all providers in zip 98801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659905636 | Kalie Thompson | Physician Assistant | 600 Orondo Ave, Wenatchee, WA 98801-2800 | 2020-02-27 |
| 1346768116 | Anne Marie Logan | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2017-08-31 |
| 1821546383 | Meadow Romney Summers | Physician Assistant | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2016-09-13 |
| 1225485352 | Nicholas Collins-feay | Physician Assistant | 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 | 2016-05-18 |
| 1679920144 | Ryan Timothy Minton | Physician Assistant | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2016-05-15 |
| 1922417914 | Carolyn Hope Smith | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2014-08-05 |
| 1295150936 | Nathan Drew Chambers | Physician Assistant | 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 | 2014-03-04 |
| 1922430081 | Shelley Alicia Lisk | Physician Assistant | 933 Red Apple Rd Ste C, Wenatchee, WA 98801-3370 | 2013-07-31 |
| 1124366166 | Lauren N Musick | Physician Assistant | 600 Orondo Ave Ste 1, Wenatchee, WA 98801-2800 | 2013-01-25 |
| 1023369733 | Greg A Moser | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2012-09-21 |
| Find all providers in WENATCHEE | ||||
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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.