MRS. KELLENA MARIE MILLER (NPI# 1073816153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073816153 |
Entity Type | Individual |
Full Name | MRS. KELLENA MARIE MILLER |
Credential | R.N. |
Practice Address |
Usa Meddac Bavaria Cmr 411, Bldg 700, Rose Barracks Apo AE 09112 |
Mailing Address |
114 Quiet Grove Dr Lexington SC 29072-6974 |
Practice Telephone | 011499662834719 |
Practice Fax Number | 011499662834721 |
Mailing Telephone | 8037437914 |
Enumeration Date | 2010-12-13 |
Last Update Date | 2010-12-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
207797 | SC | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UPIN | VAD000 | 01 |
Street Address |
USA MEDDAC BAVARIA CMR 411, BLDG 700, ROSE BARRACKS |
City | APO |
State | AE |
Zip Code | 09112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962487686 | Robert Allen Smith | Pediatrics | Usa Meddac Bavaria, Cmr 411 Bldg 700, Apo, AE 09112 | 2005-12-15 |
1134662299 | Rebecca Wagner | Physician Assistant | Usa Meddac Bavaria, Cmr 411 Bldg 700, Apo, AE 09112 | 2016-11-22 |
1730552514 | Daniela Panteloglous | Licensed Practical Nurse | Usa Meddac Bavaria, Apo, AE 09112 | 2015-11-03 |
1225409535 | Robin Smith | Registered Nurse | Usa Meddac Bavaria, Cmr 411 Bldg 700, Rose Barracks, Apo, AE 09112 | 2015-10-13 |
1073983771 | Charnele Mathies | Registered Nurse | Usa Meddac Bavaria, Cmr 411 Bldg 700, Rose Barracks, Apo, AE 09112 | 2015-10-07 |
1467822171 | Katherine Converse | Registered Nurse | Usa Meddac Bavaria, Cmr 411, Bldg 700 Rose Barracks, Apo, AE 09112 | 2015-10-07 |
1588030936 | Melissa Blair | Registered Nurse | Usa Meddac Bavaria, Cmr 411, Bldg 700, Rose Barracks, Apo, AE 09112 | 2015-08-19 |
1124494687 | Hugh Anstett | Social Worker | Usa Meddac Bavaria, Cmr 411, Bldg 700. Rose Barracks, Apo, AE 09112 | 2015-08-19 |
1982089330 | Claudia Smith | Licensed Practical Nurse | Usa Meddac Bavaria, Cmr 411, Bldg 700, Rose Barracks, Apo, AE 09112 | 2015-07-28 |
1225413750 | Chase M Wootton | Dentist | Usa Meddac Bavaria, Unit 28038, Apo, AE 09112 | 2015-07-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
1891301198 | Michelle Lea Raddatz | Registered Nurse | Us Army Medical Activity-bavaria, Unit 28038 Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-09-22 |
1750938965 | Steven Douglas Troxtell | Counselor | Vilseck Behavioral Health Clinic Bldg 260, Apo, AE 09112 | 2019-08-22 |
1174012959 | Jessica Ann Morley | Physician Assistant | Meddacb Cmr 411, Building 700, Apo, AE 09112 | 2018-05-07 |
1952806457 | Erin Resweber | Pharmacist | Us Army Medical Activity - Bavaria, Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2018-03-27 |
1710403654 | Dustin Young | Physician Assistant | Rose Barracks Bldg 260, Apo, AE 09112 | 2017-08-22 |
1013439181 | Cheryl L Ramirez | Dental Hygienist | Gebaeude 250 Building 250, Rose Barracks Dental Clinic, Apo, AE 09112 | 2017-07-11 |
1275054652 | Paul Mark Allred | Family Medicine | Unit 28038 Bld 700, Apo, AE 09112 | 2017-07-06 |
Find all providers in zip 09112 |
Taxonomy Code | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
1629491808 | Alisha Holden | Registered Nurse | Usameddac-japan, Unit 45011, Apo, AP 93668-5011 | 2014-01-24 |
1922397397 | Marcelle Pasion | Registered Nurse | Usa Meddac Bavaria Vilseck-wtu, Building 170 Rose Barracks Vilseck, Apo, AE 09112-0060 | 2011-04-06 |
1942517099 | Sang Ju Park | Registered Nurse | Usag-j Unit # 45013, Box 2919, Apo, AP 96338-5013 | 2010-09-10 |
1285724500 | Usameddac Wurzburg Unit 26610 | Registered Nurse | Usameddac Wurzburg Health Clinic, Unit 26610, Apo, AE 09244 | 2006-10-16 |
1316367279 | Jalane Mcatee | Registered Nurse | Us Naval Hospital Okinawa, Apo, AP 96362 | 2014-04-18 |
1932523305 | Karen White | Registered Nurse | Unit 28038, Apo, AE 09112-8038 | 2014-02-06 |
1376858860 | Fe Lomeda Navarra | Registered Nurse | Unit 28130, Cmr 415, Apo, AE 09114-8130 | 2010-08-10 |
1235456831 | Helen S Wise | Registered Nurse | Usa Meddac Bavaria, Cmr 411, Blg 700, Rose Barracks, Apo, AE 09112 | 2010-04-23 |
1205153889 | Carmen Peterson | Registered Nurse | Usa Meddac Bavaria, Cmr 411, Bldg. 700, Rose Barracks, Apo, AE 09112 | 2010-04-22 |
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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.