MR. KEITH ALLEN MILLER II (NPI# 1184020026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184020026 |
| Entity Type | Individual |
| Full Name | MR. KEITH ALLEN MILLER II |
| Credential | ATC, EMT-P |
| Practice Address |
419 Herman St Crete IL 60417-2905 |
| Mailing Address |
422 Herman St Crete IL 60417-2906 |
| Practice Telephone | 7089276701 |
| Mailing Telephone | 7089276701 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.003840 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4749 Lincoln Mall Dr, Ste. 550, Matteson, IL 604432348 | 7082839765 | 7082839971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831300698 | Keith A Miller | Social Worker | 36400 Woodward Ave Ste 125, Bloomfield Hills, MI 48304-0904 | 2007-05-24 |
| 1376683813 | Keith Andrew Miller | Dentist | 3613 Blue Ridge Blvd, Blue Ridge, VA 24064-1976 | 2007-02-07 |
| 1942354485 | Keith A Miller | Podiatrist | 416 Pirkle Ferry Rd Ste J500, Cumming, GA 30040-9221 | 2007-01-22 |
| 1396757613 | Keith E Miller | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2006-08-13 |
| 1962437285 | Keith Lyndon Miller | Optometrist | 136 Nw Second Street, Stevenson, WA 98648 | 2006-07-12 |
| 1578506028 | Keith Brumley Miller | Optometrist | 215 Gilead Rd Ste 100, Huntersville, NC 28078-6821 | 2006-06-13 |
| 1366437295 | Keith Michael Miller | Chiropractor | 655 E Broad St, Souderton, PA 18964-1220 | 2005-09-16 |
| 1801450416 | Keith S Miller | Family Medicine | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2019-04-29 |
| 1013366277 | Keith Miller | Psychologist | 75 Dominican Rd, Suite 207, La Place, LA 70068-3400 | 2016-06-08 |
| 1972958833 | Keith Miller | Counselor | 3440 Torrance Blvd Ste 104, Torrance, CA 90503-5805 | 2016-04-28 |
| Street Address |
419 HERMAN ST |
| City | CRETE |
| State | IL |
| Zip Code | 60417-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881120046 | Anthony Ray Kudra IIi | Student in an Organized Health Care Education/Training Program | 860 Berkshire Place, Crete, IL 60417 | 2017-05-10 |
| 1326291998 | Jack Christopher Amram | Dentist | 1285 Main Street, Crete, IL 60417 | 2008-10-28 |
| 1619140514 | Healthy Heart Nurse Inc | Skilled Nursing Facility | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1902815418 | Leila Mowers | Social Worker | 1321 Main St, Crete, IL 60417 | 2006-08-05 |
| 1336312230 | Beatrice U Maraizu | Registered Nurse | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1033382932 | Clara C Onyenso | Registered Nurse | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1841417367 | Rachel Oriel Berg | Psychologist | 116 Cornwall Dr, Crete, IL 60417-1006 | 2007-04-18 |
| 1740644517 | Gregory Cannon | Counselor | 250 Arbon Ct, Crete, IL 60417-1121 | 2016-04-07 |
| 1598396517 | Valerie Kay Rodawold | Occupational Therapist | 215 Brenner Ct, Crete, IL 60417-1122 | 2020-01-29 |
| 1225564941 | Renee D Rogers | Counselor | 3660 Beckwith Ln, Crete, IL 60417-1261 | 2017-05-02 |
| Find all providers in zip 60417 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336508134 | Evan Teske | Specialist/Technologist | 311 Milburn Ave, Crete, IL 60417-2228 | 2016-02-22 |
| 1386176428 | Micaela Kelso-otieno | Specialist/Technologist | 1014 Boswell Ave, Crete, NE 68333-2426 | 2017-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
| Find all providers with the same taxonomy | ||||
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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.