SANDRA KOH MILLER (NPI# 1497148837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497148837 |
| Entity Type | Individual |
| Full Name | SANDRA KOH MILLER |
| Credential | FNP-C |
| Practice Address |
9025 Highway 64 Lakeland TN 38002-8448 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 9013872998 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19833 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770068561 | Sandra K Miller | Developmental Therapist | 7817 Oak Grove Ct, Indianapolis, IN 46259-8610 | 2018-09-27 |
| 1053769117 | Sandra Lucia Miller | Physical Therapist | 10392 West State Road 84, Suite 106, Davie, FL 33324 | 2016-05-31 |
| 1659709616 | Sandra Narelle Miller | Occupational Therapist | 784d Sanches St, The Presidio, San Francisco, CA 94129-5219 | 2013-10-29 |
| 1467799882 | Sandra Maureen Miller | Marriage & Family Therapist | 17772 Irvine Boulevard, Suite 101, Tustin, CA 92780 | 2013-01-04 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1467723528 | Sandra Lee Miller | Community Health Worker | 659 Ave. H, Boulder City, NV 89005 | 2012-01-21 |
| 1902187891 | Sandra Dee Miller | Social Worker | 2801 Royal Oak Ct, Columbia, MO 65203-5897 | 2011-09-06 |
| 1053691444 | Sandra Eileen Miller | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2011-08-17 |
| 1063719003 | Sandra Miller | Occupational Therapist | 1439 Arnow Ave, Bronx, NY 10469-5528 | 2011-02-25 |
| 1043513955 | Sandra Miller | Registered Nurse | 6367 Pa Route 873, Slatington, PA 18080-3107 | 2010-12-15 |
| Street Address |
9025 HIGHWAY 64 |
| City | LAKELAND |
| State | TN |
| Zip Code | 38002-8448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619588043 | Rana Cooper | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-7981 | 2020-08-10 |
| 1275170268 | John Mills | Pharmacist | 9025 Highway 64, Lakeland, TN 38002-8448 | 2019-12-09 |
| 1417598905 | Jennifer Johnson Kitkowski | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2019-10-04 |
| 1588147078 | James Eli Mullins Iv | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2018-09-11 |
| 1265885446 | Rebecca Mcfarland | Pharmacist | 9025 Highway 64, Pharmacy, Lakeland, TN 38002-8448 | 2016-07-22 |
| 1265892749 | Pamela Jean Smith | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2016-02-26 |
| 1740667484 | Brittni Patterson | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2015-05-01 |
| 1285065656 | Patrick W Denning | Nurse Practitioner | 9025 Highway 64, Lakeland, TN 38002-8448 | 2013-12-10 |
| 1710228903 | Patricia Jue | Pharmacist | 9025 Highway 64, Lakeland, TN 38002-8448 | 2013-03-13 |
| 1386944668 | Mark Gordon Lingerfelt | Pharmacist | 9025 Highway 64, Lakeland, TN 38002-8448 | 2010-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649836636 | Sunshine and Smiles, LLC. | Home Health | 160 Hidden Lake Cove, Arlington, TN 38002 | 2019-05-15 |
| 1679050934 | Alisha James-scott | Nurse Practitioner | 9025 Us-64, Lakeland, TN 38002 | 2018-07-19 |
| 1720577513 | Heavenly Senior Transport Services LLC | Non-emergency Medical Transport (VAN) | 5995 Garret Valley Ln, Arlington, TN 38002 | 2018-05-07 |
| 1962915959 | Southern Dental of Brunswick Pllc | Dentist | 8755 Chaffee Road, Suite 103, Arlington, TN 38002 | 2017-11-13 |
| 1346750619 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 5226 Airline Rd, 121, Arlington, TN 38002 | 2017-10-02 |
| 1528577210 | Celia Mae Noble | Speech-Language Pathologist | 5940 Griffin Rd, Arlington, TN 38002 | 2017-09-25 |
| 1568996064 | Joshua Davis Bravo | Physical Therapist | 5226 Airline Rd Ste 131, Arlington, TN 38002 | 2017-04-12 |
| 1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
| 1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| Find all providers in zip 38002 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906994 | Janine Marie Divincenzo-smith | Nurse Practitioner | 2927 Northbrook Ln, Lakeland, FL 33811-1663 | 2020-09-15 |
| 1225643638 | Erin Garza | Nurse Practitioner | 1606 Lakewood Dr N, Lakeland, FL 33813-3241 | 2020-09-11 |
| 1184240228 | Alexis Michele Ramos | Nurse Practitioner | 858 Rockingham Rd, Lakeland, FL 33809-4044 | 2020-06-24 |
| 1326664632 | Lindsey R Cromer | Nurse Practitioner | 6945 Ashbury Dr, Lakeland, FL 33809-7804 | 2020-06-23 |
| 1043846611 | Amy Melissa Eaton | Nurse Practitioner | 1123 Walt Williams Rd Lot 192, Lakeland, FL 33809-2392 | 2020-03-16 |
| 1265066732 | Komal Meghat | Nurse Practitioner | 707 Arbor Glen Cir Apt 103, Lakeland, FL 33805-2376 | 2020-02-24 |
| 1629609391 | Brooke Nicole Brooks | Nurse Practitioner | 6883 Lake Eaglebrooke Dr, Lakeland, FL 33813-5667 | 2020-01-30 |
| 1568001774 | Theava Ismarella Preston | Nurse Practitioner | 1409 Alameda Dr S, Lakeland, FL 33805-2301 | 2020-01-06 |
| 1497394738 | Denise Thaxter | Nurse Practitioner | 3262 Pebblebrooke Blvd, Lakeland, FL 33810-1305 | 2020-01-03 |
| 1205478724 | Jisha Mathew | Nurse Practitioner | 2636 High Ridge Dr, Lakeland, FL 33812-5883 | 2019-10-16 |
| Find all providers in LAKELAND | ||||
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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.