MS. SHANNON MARIE MILLER (NPI# 1275619272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275619272 |
| Entity Type | Individual |
| Full Name | MS. SHANNON MARIE MILLER |
| Credential | PA-C |
| Practice Address |
3155 North College Fayetteville AR 72702 |
| Practice Telephone | 4795712225 |
| Mailing Telephone | 4795712225 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P-T0620 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | LICENSE - | P-T0620 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094411 | Shannon Christine Miller | Respite Care | 1750 New Mexico St, Green River, WY 82935-6252 | 2020-08-22 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1528618469 | Shannon Lynn Miller | Technician | 31 E Claude Ct, Belfair, WA 98528-9123 | 2019-09-12 |
| 1093293862 | Shannon Lance Miller | Licensed Vocational Nurse | 133 Marilyn St, Nacogdoches, TX 75961-5448 | 2018-08-02 |
| 1194265868 | Shannon Miller | Social Worker | 2245 W Marquette Woods Rd, Stevensville, MI 49127-9586 | 2017-03-01 |
| 1215488275 | Shannon Miller | Social Worker | 752 Steeplechase Rd, Landisville, PA 17538-1536 | 2016-10-14 |
| 1407229800 | Shannon Miller | Occupational Therapist | 2176 Groveland Rd, Palm Harbor, FL 34683-3334 | 2015-11-06 |
| 1902298565 | Shannon Miller | Physician Assistant | 40674 Calle Cancion, Temecula, CA 92592-9472 | 2015-02-19 |
| 1871860239 | Shannon Miller | Psychologist | 709 Milan Hill Rd, Red Hook, NY 12571-4345 | 2011-11-29 |
| 1366774028 | Shannon Mj Miller | Speech-Language Pathologist | 8050 Corporate Cir Ste 4, North Royalton, OH 44133-1281 | 2010-02-05 |
| Street Address |
3155 NORTH COLLEGE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1124628979 | Casey Brooks | Specialist/Technologist | 1223 Huntsville Hwy, Fayetteville, TN 37334-3617 | 2020-10-30 |
| 1710587605 | Jordan Tyler Reed | Pharmacist | 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 | 2020-10-29 |
| 1891395901 | Todd Johnson | Pharmacist | 660 W Mlk Blvd, Fayetteville, AR 72701-6443 | 2020-10-28 |
| 1073112645 | Brothers Helping Hands of Nc | Home Health | 347 St Thomas Rd, Fayetteville, NC 28311-2966 | 2020-10-23 |
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1891394581 | Tori Treadway | Technician | 226 Jenkins Fork Crossing Rd, Fayetteville, WV 25840-8202 | 2020-10-22 |
| 1467051573 | Latoya Crane | Psychologist | 260 Rock Hill Dr, Fayetteville, GA 30215-4953 | 2020-10-20 |
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1700484201 | Torrie Luciana Powell | Social Worker | 3526 Standard Dr, Fayetteville, NC 28306-8089 | 2020-10-15 |
| Find all providers in FAYETTEVILLE | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169185 | Raheem Lalani | Family Medicine | 230 Fieldstone Way, Fayetteville, GA 30215-8170 | 2020-06-18 |
| 1821619370 | Kelly R. Mccarty | Family Medicine | 5872 W Bannister Dr, Fayetteville, AR 72704-6536 | 2020-05-06 |
| 1720620230 | Vector Health and Wellness, LLC | Family Medicine | 1267 N Steamboat Dr Ste 3, Fayetteville, AR 72704-7148 | 2019-10-16 |
| 1295382182 | Nimota Motunrayo Akintoye | Family Medicine | 140 Briergate Pl, Fayetteville, GA 30214-3931 | 2019-08-24 |
| 1609332725 | Fastmed Health Nc, Pllc | Family Medicine | 150 Francam Dr, Fayetteville, NC 28311-4500 | 2019-02-13 |
| 1013486638 | K E Management Services | Family Medicine | 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703-4995 | 2018-11-14 |
| 1659896751 | Melissa Holt | Family Medicine | 108 Medical Center Blvd Ste G-50, Fayetteville, TN 37334-2741 | 2017-08-09 |
| 1124477484 | Mark William Guelzow | Family Medicine | 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066-6600 | 2016-06-08 |
| 1962865659 | Tracie Fullove | Family Medicine | 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679 | 2016-03-31 |
| 1053778936 | Linda Nancy Robinson | Family Medicine | 7107 Thorntree Hill Dr, Fayetteville, NY 13066-9790 | 2016-01-22 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72702 |
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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.