AMY MILLER (NPI# 1306215157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306215157 |
Entity Type | Individual |
Full Name | AMY MILLER |
Practice Address |
2046 Jonathan Creek Rd Arthur IL 61911-6108 |
Practice Telephone | 2179620614 |
Mailing Telephone | 2179620614 |
Enumeration Date | 2015-09-23 |
Last Update Date | 2019-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225700000X | Massage Therapist | LMT 8092 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 405300000X | Prevention Professional | 778931277 | IL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0164169 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2801 Great Northern Loop, Missoula, MT 598081745 | 4065499100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831717198 | Amy Miller | Registered Nurse | 457 Beulah Rose Dr, Murfreesboro, TN 37128-2979 | 2020-07-13 |
1104452119 | Amy Miller | Marriage & Family Therapist | 330 N Andrews Ave Ste 325, Ft Lauderdale, FL 33301-1027 | 2020-03-21 |
1326672429 | Amy Cherie Miller | Counselor | 6922 Crystal Ln, North Richland Hills, TX 76182-3635 | 2020-02-27 |
1013572890 | Amy L Miller | Counselor | 839 Keeling Rd, North Pole, AK 99705-5036 | 2019-05-07 |
1346716875 | Amy Ann Miller | Registered Nurse | 201 N Sunset St, Pierce, NE 68767-1816 | 2018-10-23 |
1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
1356850838 | Amy Marie Miller | Social Worker | 115 Campbell St Ste 200a, Geneva, IL 60134-2777 | 2017-09-27 |
1679013247 | Amy Elizabeth Miller | Midwife | 37 W Baltimore St, Funkstown, MD 21734-0493 | 2017-03-02 |
1588108971 | Amy Miller | Student in an Organized Health Care Education/Training Program | 50 Indian Spring Rd, Media, PA 19063-1818 | 2016-12-05 |
1265984900 | Amy Miller | Nurse Practitioner | 805 W Hwy 22, Wewahitchka, FL 32456-3237 | 2016-10-28 |
Street Address |
2046 JONATHAN CREEK RD |
City | ARTHUR |
State | IL |
Zip Code | 61911-6108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639714090 | Carissa Kay Curtsinger | Massage Therapist | 2046 Jonathan Creek Rd, Arthur, IL 61911-6108 | 2019-11-08 |
1609349026 | Jessica Smith | Massage Therapist | 2046 Jonathan Creek Rd, Arthur, IL 61911-6108 | 2019-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508301706 | Southern Illinois Health Care Foundation, Inc. | Counselor | 1710 State Route 133, Arthur, IL 61911 | 2016-12-23 |
1568522605 | James E Winfield | Dentist | 318 South Ash, Arthur, IL 61911 | 2006-12-11 |
1356999262 | Shawna L Storm | Nurse Practitioner | 1710 State Route 133, Arthur, IL 61911 | 2019-09-04 |
1720164502 | Michael George Elder | Chiropractor | 426 North Vine Street, Arthur, IL 61911-1121 | 2006-10-27 |
1336664705 | Kelli D Canada | Social Worker | 525 N Vine St, Arthur, IL 61911-1130 | 2017-08-07 |
1134660590 | Kendra Zerrusen | Nurse Practitioner | 525 N Vine St, Arthur, IL 61911-1130 | 2017-03-17 |
1720419336 | Brittany Faris | Physician Assistant | 525 N Vine St, Arthur, IL 61911-1130 | 2013-12-06 |
1164418067 | William H Shackelford Md | Family Medicine | 525 N Vine St, Arthur, IL 61911-1137 | 2005-09-26 |
1467445130 | William Howard Shackelford | Family Medicine | 525 N Vine St, Arthur, IL 61911-1137 | 2005-08-26 |
1407833130 | Charles R Ellington | Family Medicine | 650 W Columbia St, Arthur, IL 61911-1214 | 2005-12-23 |
Find all providers in zip 61911 |
Taxonomy Code | 405300000X |
Grouping | Other Service Providers |
Classification | Prevention Professional |
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891333944 | Ariq Cabbler | Prevention Professional | 5642 S Prairie Ave Apt 3, Chicago, IL 60637-1575 | 2019-12-18 |
1891260931 | Kevin Wayne Kackley | Prevention Professional | 897 850e St, Mt Sterling, IL 62353-1798 | 2018-10-04 |
1013436765 | Christen Bridgwater | Prevention Professional | 312 Apple River Dr, Naperville, IL 60565-6324 | 2017-09-13 |
1891221958 | Anthony Lopez | Prevention Professional | 14011 Kenton Ave, Crestwood, IL 60445-2252 | 2017-05-11 |
1366978686 | Sarina Marie Gutierrez | Prevention Professional | 11501 S Villa Ct, Alsip, IL 60803-4361 | 2017-05-05 |
1164957213 | Excellent Care, LLC | Prevention Professional | 9514 Kedvale Ave, Skokie, IL 60076-1425 | 2017-04-26 |
1679008734 | Dr Meda Professional Corporation | Prevention Professional | 1215 N Humphrey Ave, Oak Park, IL 60302-1111 | 2017-04-26 |
1801337225 | Danielle Marie Flores | Prevention Professional | 1747 W Goldengate Dr, Addison, IL 60101-1845 | 2017-03-17 |
1265039713 | Rashada C James | Prevention Professional | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-07 |
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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.