WANDA MILLER (NPI# 1063515872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063515872 |
| Entity Type | Individual |
| Full Name | WANDA MILLER |
| Credential | NP |
| Practice Address |
1 Freedom Way Augusta GA 30904-6258 |
| Mailing Address |
47 Chaste Tree Ln Martinez GA 30907-3547 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 7067330188 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R619183 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699280115 | Wanda Miller | Non-emergency Medical Transport (VAN) | 3184 Millington Rd, Memphis, TN 38127-6112 | 2017-12-06 |
| 1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
| 1144736687 | Wanda Jean Miller | Social Worker | 262 Chapman Rd, Newark, DE 19702-5448 | 2017-12-20 |
| 1417496605 | Wanda Miller | Psychologist | 1721 W Elfindale St, Springfield, MO 65807-1295 | 2017-02-21 |
| 1982054102 | Wanda Miller | Case Manager/Care Coordinator | 972 Main St, Forest Park, GA 30297-1473 | 2016-06-18 |
| 1710164660 | Wanda Latrice Miller | Counselor | 140 Michigan Ave W, Battle Creek, MI 49017-3602 | 2008-01-23 |
| 1902955495 | Wanda L Miller | Physical Therapist | 4840 W Panther Creek Dr, Suite 206, The Woodlands, TX 77381-3527 | 2007-01-10 |
| Street Address |
1 FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900713 | Robert Leon Longe | Pharmacist | 1 Freedom Way, Augusta, GA 30904-6258 | 2005-05-24 |
| 1609476951 | Melissa Ann Cotton | Dentist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-27 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1437758844 | Angela Marie Brown | Social Worker | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-19 |
| 1538767819 | Stephen William Montgomery | Music Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-09 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104435718 | Vincent Michael Fitch | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-07-29 |
| 1558988162 | Amanda Draheim | Psychologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1982221776 | Janice J Anglin | Dietitian, Registered | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| 1316113913 | Jenny Lee Charles | Nurse Practitioner | 711 4th St, Augusta, GA 30901-2403 | 2008-05-03 |
| 1649330622 | Laurie Ann Conn | Nurse Practitioner | 3092 Leaflet Way, Augusta, GA 30909-1714 | 2006-12-11 |
| 1528098225 | Azerlea Bryant | Nurse Practitioner | 1 Togus Circle, 107f, Augusta, ME 04330-9929 | 2006-07-05 |
| 1811993926 | Mary Jo Goolsby | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2005-06-23 |
| 1669030995 | Vicki Scott | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2019-06-01 |
| 1346714524 | Daniel Haynia | Nurse Practitioner | 987 Saint Sebastian Way, Augusta, GA 30912-2613 | 2019-01-22 |
| 1912471731 | Krista Lee Vernon | Nurse Practitioner | 1120 15th St # 6518, Augusta, GA 30912-0004 | 2019-01-15 |
| 1073054813 | Regina Clark Canty | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-5887 | 2017-03-13 |
| 1508301649 | Ma Victoria Aquino Khera | Nurse Practitioner | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2016-12-28 |
| Find all providers in AUGUSTA | ||||
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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.