MARK MILLER


Address: 1543 Grimmett Dr, Shreveport, LA 71107-6505
Phone: 3186265597

MARK MILLER (NPI# 1275163909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275163909
Entity Type Individual
Full Name MARK MILLER
Practice Address 1543 Grimmett Dr
Shreveport
LA 71107-6505
Practice Telephone 3186265597
Enumeration Date 2020-01-22
Last Update Date 2020-01-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers MARK MILLER

NPI Name Taxonomy Address Enumeration
1932731692 Mark A Miller Pharmacist 5431 Sw 35th Dr Ste 200, Gainesville, FL 32608-5277 2020-02-10
1386111250 Mark Miller Counselor 3605 Calumet St, Philadelphia, PA 19129-1603 2018-10-30
1386124873 Mark E Miller Dentist 558 E Bay Ave, Manahawkin, NJ 08050-3340 2018-08-15
1326536335 Mark Jay Miller Technician/Technologist 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 2018-04-25
1801264148 Mark J Miller Counselor 4141 Highway 11, Rising Fawn, GA 30738-4633 2015-09-03
1427317197 Mark Anthony Miller Physical Therapist 537 West Main St, Brewster, WA 98812-1200 2012-05-15
1790044428 Mark Ian Miller Student in an Organized Health Care Education/Training Program 843 S Sierra Bonita Ave, Los Angeles, CA 90036-4703 2012-05-15
1023384989 Mark H Miller Internal Medicine 6318 17th Ave Ne, Seattle, WA 98115-6809 2012-03-26
1649578816 Mark A Miller Pharmacist 8 Elk Plz, Elkview, WV 25071-9602 2011-03-11
1538399753 Mark E Miller Social Worker 645 S 5th St, Montrose, CO 81401-5710 2009-07-22

Office Location

Street Address 1543 GRIMMETT DR
City SHREVEPORT
State LA
Zip Code 71107-6505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396192993 Adrienne Lewis Bleakley Counselor 1543 Grimmett Dr, Shreveport, LA 71107-6505 2016-05-24
1053946822 Edith Nelson Case Manager/Care Coordinator 1543 Grimmett Dr, Shreveport, LA 71107-6505 2020-03-11
1659902377 Marie Riggs Case Manager/Care Coordinator 1543 Grimmett Dr, Shreveport, LA 71107-6505 2020-01-31
1619507316 Charles Corder Case Manager/Care Coordinator 1543 Grimmett Dr, Shreveport, LA 71107-6505 2020-01-22
1417587114 Erica Gordon Case Manager/Care Coordinator 1543 Grimmett Dr, Shreveport, LA 71107-6505 2020-01-22
1700416443 Jessica Rodgers Case Manager/Care Coordinator 1543 Grimmett Dr, Shreveport, LA 71107-6505 2020-01-22
1972148757 Amber Thomas Case Manager/Care Coordinator 1543 Grimmett Dr, Shreveport, LA 71107-6505 2019-11-15
1760027262 Amy Andrys Case Manager/Care Coordinator 1543 Grimmett Dr, Shreveport, LA 71107-6505 2019-11-08
1669020822 Kaitlyn Mosely Case Manager/Care Coordinator 1543 Grimmett Dr, Shreveport, LA 71107-6505 2019-08-30
1043865892 Janie Lemon Case Manager/Care Coordinator 1543 Grimmett Dr, Shreveport, LA 71107-6505 2019-08-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306490875 Kimber Leigh Lumley Registered Nurse 1440 Hawn Ave., Shreveport, LA 71107 2019-08-01
1871063461 Nicole Capito Case Manager/Care Coordinator 200 North Thomas Drive Ste 1, Shreveport, LA 71107 2018-11-27
1891260899 Danielle Leigh Dreher Dental Assistant 3610 Gorman Rd, Shreveport, LA 71107 2018-10-05
1255817540 Shirley Marie Washington Technician 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 2018-07-19
1366928467 Katrina L Bailey Case Manager/Care Coordinator 1111 Hawn Ave Apt A, Shreveport, LA 71107 2018-07-12
1063907970 James Mcneely IIi Public Health or Welfare 5922 Alaska Ln, Shreveport, LA 71107 2018-06-25
1528560067 Jacarie Guice Case Manager/Care Coordinator 4601 N. Market Ste 2, Shreveport, LA 71107 2018-03-01
1467971069 Tracy Renard Harris Counselor 1149 Englemeade Dr, Shreveport, LA 71107 2017-09-14
1427588045 Mark Rogers Behavior Technician 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 2017-06-15
1356871164 Hope4youth Voluntary or Charitable 2850 King Oaks Loop, Shreveport, LA 71107 2017-06-14
Find all providers in zip 71107

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497360887 Halena Jones Case Manager/Care Coordinator 9409 Chaparral Ln, Shreveport, LA 71118-4337 2020-09-11
1598376196 Michaela Nicole Bradley Case Manager/Care Coordinator 10021 Stratmore Cir, Shreveport, LA 71115-3416 2020-08-17
1619585791 Kimberly Bissell Case Manager/Care Coordinator 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 2020-07-15
1902414170 Unique Lashae Lister Case Manager/Care Coordinator 2611 Corbitt St, Shreveport, LA 71108-2805 2020-07-14
1407474828 Angela Harris Case Manager/Care Coordinator 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 2020-07-13
1669096921 Ryan Barham Case Manager/Care Coordinator 824 Oneonta St, Shreveport, LA 71106-1130 2020-06-02
1922621085 Julian White Case Manager/Care Coordinator 8529 Grover Pl, Shreveport, LA 71115-2707 2020-05-24
1396368817 Shannon Marie Cannon Case Manager/Care Coordinator 1543 Summers St, Shreveport, LA 71108-3131 2020-05-19
1730701954 Brianna Mason Case Manager/Care Coordinator 1533 Marshall St, Shreveport, LA 71101-3941 2020-05-11
1295355238 Angela Rice Case Manager/Care Coordinator 2704 Frostwood Dr, Shreveport, LA 71108-5524 2020-04-20
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71107

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Dataset Information

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.

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