COURTNEY A MILLER (NPI# 1912197112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912197112 |
| Entity Type | Individual |
| Full Name | COURTNEY A MILLER |
| Other Name | COURTNEY A DEMETER |
| Credential | NP |
| Practice Address |
1101 Sam Perry Blvd Suite 401 Fredericksburg VA 22401-4467 |
| Practice Telephone | 5409402000 |
| Practice Fax Number | 5409402001 |
| Mailing Telephone | 5409402000 |
| Mailing Fax Number | 5409402001 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
0024170740 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
209007822 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL LICENSE | 209007822 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373308 | Courtney Miller | Social Worker | 41845 Old Bridge Rd, Canton, MI 48188-1242 | 2020-10-14 |
| 1417564766 | Courtney Miller | Counselor | 8877 Lakes At 610 Dr Apt 431, Houston, TX 77054-2586 | 2020-09-29 |
| 1144883018 | Courtney Paige Miller | Pharmacist | 14967 W. Whitesbridge Ave., Kerman, CA 93630 | 2019-04-17 |
| 1841756558 | Courtney Miller | Counselor | 187 Burt Blvd Ste B, Benton, LA 71006-4905 | 2019-02-18 |
| 1386126381 | Courtney Miller | Counselor | 8505 Technology Forest Pl Ste 1001, Spring, TX 77381-1186 | 2018-09-05 |
| 1750884094 | Courtney Miller | Counselor | 3112 W Pinhook Rd Ste B, Lafayette, LA 70508-3443 | 2018-03-13 |
| 1073036190 | Courtney Miller | Counselor | 239 A Old National Rd, Po Box 94, Old Washington, OH 43768-0094 | 2017-07-20 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1104295021 | Courtney A Miller | Speech-Language Pathologist | 2427 Maples Rd, Fort Wayne, IN 46816-2427 | 2015-09-21 |
| 1790153419 | Courtney Jean Miller | Registered Nurse | 1146 Stacy Dr, Canton, MI 48188-1423 | 2015-09-11 |
| Street Address |
1101 SAM PERRY BLVD SUITE 401 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301806 | Stephanie M Strazinsky | Physician Assistant | 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 | 2005-07-21 |
| 1144843095 | Paul James Kinkead | Physician Assistant | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2020-05-27 |
| 1386282176 | Ashley Michelle Baker | Advanced Practice Midwife | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2019-12-12 |
| 1831735323 | Charles D Valiani | Pharmacist | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2019-11-20 |
| 1376094557 | Cheryl Denise Corey | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 | 2016-10-21 |
| 1306291646 | Paige Lynch | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 219, Fredericksburg, VA 22401-4465 | 2016-04-23 |
| 1033577390 | Sarah Vitaletti | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 | 2016-02-02 |
| 1497129134 | Lauren Backy | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 401, Fredericksburg, VA 22401-4467 | 2015-11-18 |
| 1679998116 | Jared Kachurak | Physician Assistant | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 | 2014-02-20 |
| 1952742660 | Kimberly Beth Gordon | Physician Assistant | 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 | 2013-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619463726 | Casey Jo Harrison | Nurse Practitioner | 1071 Care Way, Fredericksburg, VA 22401-8431 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679086656 | Holly Borkert | Nurse Practitioner | 3925 Shannon Rd, Portsmouth, VA 23703-2119 | 2017-11-13 |
| 1235641325 | Katya Simon | Nurse Practitioner | 8303 Arlington Blvd Ste 209, Fairfax, VA 22031-2903 | 2017-10-29 |
| 1205253580 | Bethanie Lynn Nice | Nurse Practitioner | 824 Greenbrier Pkwy Ste 100, Chesapeake, VA 23320 | 2014-03-24 |
| 1073856811 | Mary Nottingham | Nurse Practitioner | 1119 2nd St Sw, Roanoke, VA 24016-4710 | 2013-03-30 |
| 1134465693 | Renee Olexy | Nurse Practitioner | 844 Battlefield Blvd N Ste 100, Chesapeake, VA 23320-4802 | 2013-01-02 |
| 1821327024 | Jennifer Connelly Reilly | Nurse Practitioner | 5875 Bremo Rd Ste 701, Richmond, VA 23226-1928 | 2009-12-17 |
| 1215137369 | Phyllis Adams Mathews | Nurse Practitioner | 724. South Mason St., Harrisonburg, VA 22807 | 2007-07-18 |
| 1801923057 | Joni Teresa White | Nurse Practitioner | 23191 Front St. Accomack County Health Dept., Accomac, VA 23301 | 2007-02-27 |
| 1336285709 | Terry Marie Mcguirk | Nurse Practitioner | 1009 Seville Dr, Chesapeake, VA 23322-8027 | 2007-01-30 |
| 1548364912 | Judith Christian | Nurse Practitioner | 2964 Hydraulic Road, Charlottesville, VA 22901-8902 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on COURTNEY A MILLER.
| 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.