MRS. STEPHANIE MILLER (NPI# 1891142287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891142287 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE MILLER |
| Credential | MA, LPCC, RPT |
| Practice Address |
3460 Washington Dr Suite 110 Eagan MN 55122-1338 |
| Mailing Address |
14962 Dufferin Ct Savage MN 55378-4688 |
| Practice Telephone | 6514521618 |
| Practice Fax Number | 6516880481 |
| Mailing Telephone | 6123288517 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01329 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952509 | Stephanie Miller | Physical Therapist | 313 Furys Ferry Rd, Martinez, GA 30907-3001 | 2020-11-05 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1104452796 | Stephanie Lynn Miller | Registered Nurse | 10850 Golden Center Drive, Rancho Cordova, CA 95670 | 2020-03-16 |
| 1134763451 | Stephanie L Miller | Occupational Therapist | 1276 Smithlane Rd, Lehighton, PA 18235-3628 | 2019-10-30 |
| 1114402831 | Stephanie Brooke Miller | Counselor | 4435 S Rural Rd Ste 5, Tempe, AZ 85282-7059 | 2018-09-27 |
| 1558848655 | Stephanie Miller | Counselor | 9882 Main St, Damascus, MD 20872-2016 | 2018-07-23 |
| 1124525563 | Stephanie N Miller | Behavior Technician | 819 Phelps Ln, Shorewood, IL 60404-8539 | 2018-04-11 |
| 1184136491 | Stephanie Elisabeth Miller | Speech-Language Pathologist | 240 North Ave Ne Apt 1425, Atlanta, GA 30308-4402 | 2017-10-26 |
| 1679095129 | Stephanie Miller | Nurse Practitioner | 360 N Main St Ste 14, Southington, CT 06489-2503 | 2017-07-15 |
| 1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
| Street Address |
3460 WASHINGTON DR SUITE 110 |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811464 | David Stuart Kyllo | Family Medicine | 3460 Washington Dr, Ste 102, Eagan, MN 55122-4301 | 2005-06-14 |
| 1942755616 | Amber John | Counselor | 3460 Washington Dr, 110, Eagan, MN 55122-1338 | 2016-08-23 |
| 1366811382 | Emily Margaret Blom | Marriage & Family Therapist | 3460 Washington Dr, #110, Eagan, MN 55122-1338 | 2015-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906188 | Lotus Counseling Center LLC | Counselor | 4660 Slater Rd Ste 145, Eagan, MN 55122-4047 | 2020-03-04 |
| 1881240927 | Erika Rae Heglund | Counselor | 3450 O Leary Lane, Eagan, MN 55123-5512 | 2019-08-14 |
| 1275073496 | Meagen Sweeney | Counselor | 2100 Silver Bell Rd, Eagan, MN 55122-1024 | 2017-03-07 |
| 1861099194 | Nichole Elizabeth Young | Counselor | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-10-09 |
| 1730742792 | Shannon Derfus | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-04-16 |
| 1164981429 | Tatiana Morris | Counselor | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2019-03-17 |
| 1457830762 | Michelle Retzer | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2018-08-08 |
| 1568949774 | Mara Jane Morley | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2018-07-20 |
| 1992207096 | Justina Peters | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2018-03-05 |
| 1366955254 | Kristy Brecke | Counselor | 2130 Cliff Rd Ste 200, Eagan, MN 55122-2487 | 2017-11-14 |
| Find all providers in EAGAN | ||||
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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.