STACY MILLER (NPI# 1942628623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942628623 |
Entity Type | Individual |
Full Name | STACY MILLER |
Credential | NP-C |
Practice Address |
1621 N Taylor Dr Suite 100 Sheboygan WI 53081-1990 |
Practice Telephone | 9204598300 |
Enumeration Date | 2014-03-31 |
Last Update Date | 2016-07-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5730-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295388361 | Stacy Hatsumi Miller | Specialist/Technologist | 1919 Spanos Ct, Sacramento, CA 95825-3981 | 2019-07-18 |
1356620884 | Stacy Ann Miller | Student in an Organized Health Care Education/Training Program | 249 E Tabernacle St Ste 100, St George, UT 84770-2951 | 2011-08-15 |
1275827156 | Stacy Miller | Pharmacist | Building 8, Dogwood Ave., Mountain Home, TN 37684 | 2011-06-08 |
1740510528 | Stacy Miller | Psychologist | 801 Vassar Dr Ne Bldg 23, Albuquerque, NM 87106-2725 | 2009-12-30 |
1518156652 | Stacy Lee Miller | Dietitian, Registered | 7360 Joshua Ln Apt A, Yucca Valley, CA 92284-7901 | 2007-10-15 |
1407902380 | Stacy E Miller | Dentist | 1 Lakeway Centre Ct, Suite A, Lakeway, TX 78734-2621 | 2007-01-25 |
1033724380 | Stacy Ann Miller | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-09-14 |
1982216230 | Stacy Lynn Miller | Pharmacist | 2305 W Monroe St, Springfield, IL 62704-1438 | 2020-08-18 |
1528692357 | Stacy Elizabeth Miller | Dietitian, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-03-02 |
1265928105 | Stacy Miller | Physician Assistant | 500 W Berkeley St, Uniontown, PA 15401-5596 | 2018-07-03 |
Street Address |
1621 N TAYLOR DR SUITE 100 |
City | SHEBOYGAN |
State | WI |
Zip Code | 53081-1990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699761403 | Katharine A Donohue | Nurse Practitioner | 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081-1990 | 2005-09-27 |
1568862324 | Anne Clarke | Nurse Practitioner | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2014-08-29 |
1467740126 | Donna Mayer | Nurse Practitioner | 1621 N Taylor Dr, #300, Sheboygan, WI 53081-1990 | 2011-07-15 |
1114215886 | Laura Alsteen | Nurse Practitioner | 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081-1990 | 2011-07-15 |
1972804854 | David Beimborn | Physical Therapist | 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081-1990 | 2010-11-09 |
1083927412 | Mary Lou Roethel | Nurse Practitioner | 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081-1990 | 2010-07-14 |
1275799413 | St. Nicholas Hospital of The Hospital Sisters of St Francis | Hospitalist | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2008-08-06 |
1528232576 | Marla Z Wolfert | Internal Medicine | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2008-04-21 |
1265604839 | Dawn C. Baarendse | Nurse Practitioner | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2008-03-24 |
1326220823 | Hospice and Palliative Care Consultants | Internal Medicine | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2007-11-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
Find all providers in zip 53081 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174889323 | Rachael K Falle | Nurse Practitioner | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2012-04-02 |
1750603114 | Colleen M Gumm | Nurse Practitioner | 1414 N Taylor Dr, Suite 144, Sheboygan, WI 53081-1988 | 2010-02-25 |
1134197353 | Richard E Mulhern | Nurse Practitioner | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952870289 | Sujata Karki | Nurse Practitioner | 402 N Eau Claire Ave Apt 309, Madison, WI 53705-2820 | 2018-11-15 |
1861926750 | Lisa Somers | Nurse Practitioner | W126n7338 Flint Dr, Menomonee Falls, WI 53051-4532 | 2017-04-17 |
1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
1902341852 | Rebecca Weld Hall | Nurse Practitioner | 3245 Milwaukee St, Madison, WI 53714-1829 | 2017-01-02 |
1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
1134574643 | Victoria White | Nurse Practitioner | 2500 N Mayfair Rd Ste 260, Wauwatosa, WI 53226-1443 | 2016-05-03 |
1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
1841673829 | M Christine Meulemans | Nurse Practitioner | 3391 Wilderness Trl, Suamico, WI 54313-8746 | 2015-07-08 |
1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
1588062947 | Laura Swett | Nurse Practitioner | 733 Woodside Dr, Seymour, WI 54165-1661 | 2014-12-16 |
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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.