MRS. JACQUELINE HELLER MILLER (NPI# 1467451062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467451062 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE HELLER MILLER |
| Credential | PA-C |
| Practice Address |
1099 Citrus Tower Blvd Ste 120 Clermont FL 34711-1947 |
| Practice Telephone | 3522417050 |
| Practice Fax Number | 3522417035 |
| Mailing Telephone | 3522417050 |
| Mailing Fax Number | 3522417035 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102182 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902466493 | Jacqueline Celia Miller | Behavior Technician | 1500 21st Ave S Ste 2600b, Nashville, TN 37212-3160 | 2019-06-17 |
| 1871067199 | Jacqueline Frances Miller | Nurse Practitioner | 148 Sierra St, Ardmore, OK 73401-7275 | 2019-01-21 |
| 1013497247 | Jacqueline Faith Miller | Behavior Technician | 641 Wyngate Ln, Buffalo Grove, IL 60089-1444 | 2018-08-16 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1538581343 | Jacqueline Miller | Occupational Therapist | 1020 Ne Shady Brook Ct, Bremerton, WA 98311-8746 | 2014-01-14 |
| 1689979486 | Jacqueline Nichole Miller | Registered Nurse | 237 W Schrock Rd Ste B, Westerville, OH 43081-2874 | 2011-01-26 |
| 1730401159 | Jacqueline M Miller | Pediatrics | 11315 S Glen Rd, Potomac, MD 20854-1849 | 2010-02-26 |
| 1699009787 | Jacqueline Mary Miller | Nurse Practitioner | 245 Edgartown- Vineyard Haven Road, Island Health Care, Edgartown, MA 02539 | 2009-09-23 |
| 1528201969 | Jacqueline Joy Miller | Pediatrics | 13 Red Maple Ct, Owings Mills, MD 21117-1433 | 2009-04-15 |
| 1407014012 | Jacqueline R. Miller | Speech-Language Pathologist | 6207 Nottaway Dr, Shreveport, LA 71119-6216 | 2008-05-30 |
| Street Address |
1099 CITRUS TOWER BLVD STE 120 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754121 | South Lake Ob/gyn | Obstetrics & Gynecology | 1099 Citrus Tower Blvd, Ste 120, Clermont, FL 34711 | 2005-07-15 |
| 1265825152 | Rocky Mountain Holdings, LLC | Ambulance | 1099 Citrus Tower Blvd, Clermont, FL 34711 | 2015-03-17 |
| 1750710778 | South Lake Anesthesia Services, P.a. | Nurse Anesthetist, Certified Registered | 1099 Citrus Tower Blvd, Clermont, FL 34711-1947 | 2013-11-12 |
| 1861707382 | Lance Barnett | Physician Assistant | 1099 Citrus Tower Blvd, Clermont, FL 34711-1947 | 2010-08-09 |
| 1962640383 | Andrew D Karen Md LLC | Obstetrics & Gynecology | 1099 Citrus Tower Blvd, Suite 110, Clermont, FL 34711-1947 | 2009-01-22 |
| 1063511921 | Michael J Clark | Physician Assistant | 1099 Citrus Tower Blvd, Clermont, FL 34711-1947 | 2006-09-21 |
| 1245332873 | Christine Murphy | Emergency Medicine | 1099 Citrus Tower Blvd, Clermont, FL 34711-1947 | 2006-09-03 |
| 1548293947 | Teresa Layman | Nurse Anesthetist, Certified Registered | 1099 Citrus Tower Blvd, Clermont, FL 34711-1947 | 2006-07-09 |
| 1780616599 | Imke Casey | Nurse Anesthetist, Certified Registered | 1099 Citrus Tower Blvd, Clermont, FL 34711-1947 | 2006-07-06 |
| 1073551842 | Martin Fisher | Anesthesiology | 1099 Citrus Tower Blvd, Clermont, FL 34711-1947 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107133 | Nulma B Carguill | Physician Assistant | 1900 Don Wickham Dr, Mp Sl Admin, Clermont, FL 34711-1979 | 2005-07-12 |
| 1386017994 | Archanaben C Patel | Physician Assistant | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2015-11-04 |
| 1720256340 | Philippe Robelin | Physician Assistant | 865 Oakley Seaver Dr, Clermont, FL 34711-1968 | 2008-02-17 |
| 1952300535 | Shawn Nicole Preston Casavant | Physician Assistant | 1900 Don Wickham Drive, Ste 120, Clermont, FL 34711-1947 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
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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.