AMY BOLT MILLER (NPI# 1548418767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548418767 |
| Entity Type | Individual |
| Full Name | AMY BOLT MILLER |
| Credential | P.A.-C |
| Practice Address |
5658 S Rex Rd # 200 Memphis TN 38119-3822 |
| Mailing Address |
2602 Buford Rd Richmond VA 23235-3422 |
| Practice Telephone | 9015124632 |
| Practice Fax Number | 9015124684 |
| Mailing Telephone | 8042728806 |
| Mailing Fax Number | 8042722909 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3369 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2602 Buford Rd, Richmond, VA 232353422 | 8042728806 | 8042722909 |
| 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 |
5658 S REX RD # 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887215 | Alicia Dawn Davis | Nurse Practitioner | 5658 S Rex Rd # 200, Memphis, TN 38119-3822 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821523119 | Benjamin Scott James | Physician Assistant | 109 N Barksdale St, Memphis, TN 38104-7613 | 2017-04-25 |
| 1184091407 | Melissa Ball Foner | Physician Assistant | 493 Dr Ml King Jr Ave, Memphis, TN 38126-2548 | 2015-08-24 |
| 1740686302 | Rachel Anna Brownfield | Physician Assistant | 5658 S Rex Rd, Memphis, TN 38119-3822 | 2014-11-10 |
| 1043445380 | Mary Boland Hamilton | Physician Assistant | 80 Humphreys Suite 230, Memphis, TN 38117 | 2009-05-15 |
| 1841386182 | Amy Kerns | Physician Assistant | 6063 Mt Moriah Rd Ext Ste 4, Memphis, TN 38115-2665 | 2006-10-05 |
| 1366467979 | Diane Norrby | Physician Assistant | 3150 Lenox Park Blvd Ste 214, Memphis, TN 38115-4396 | 2006-07-13 |
| 1659378040 | Matthew Joseph Allman | Physician Assistant | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2005-06-30 |
| 1548895568 | Sina Nezakat | Physician Assistant | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0809 | 2020-03-10 |
| 1578197919 | Emma Virginia Cotton | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2020-02-25 |
| 1043850241 | Sara Beth Brauninger | Physician Assistant | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2020-01-15 |
| Find all providers in MEMPHIS | ||||
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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.