FAITH MELINDA MILLER (NPI# 1619423472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619423472 |
Entity Type | Individual |
Full Name | FAITH MELINDA MILLER |
Other Name | FAITH MELINDA PANGBURN |
Credential | PMHNP-BC |
Practice Address |
550 S. Peoria Avenue Tulsa OK 74120-3820 |
Practice Telephone | 9185881900 |
Practice Fax Number | 9185826405 |
Mailing Telephone | 9185881900 |
Mailing Fax Number | 9185826405 |
Enumeration Date | 2016-08-31 |
Last Update Date | 2019-06-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
105704 | OK | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
105704 | OK | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588710495 | Faith Anne Miller | Chiropractor | 201 Boston Post Rd W, Marlborough, MA 01752-4667 | 2007-01-25 |
1164993309 | Faith Devine Miller | Behavioral Analyst | 5300 Lennox Ave Ste 100, Bakersfield, CA 93309-1662 | 2018-12-16 |
Street Address |
550 S. PEORIA AVENUE |
City | TULSA |
State | OK |
Zip Code | 74120-3820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457447609 | Indian Health Care Resource Center of Tulsa, Inc. | Clinic/Center | 550 S. Peoria Avenue, Tulsa, OK 74120-3825 | 2006-10-05 |
1306380175 | Bridget Renee Bright | Registered Nurse | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2016-12-13 |
1134662190 | Joshua Lynn Nooner | Dietitian, Registered | 550 S. Peoria Avenue, Tulsa, OK 74120 | 2016-11-23 |
1992248983 | Phyllis Dawn Nabilsi | Registered Nurse | 550 S. Peoria Avenue, Tulsa, OK 74120 | 2016-11-23 |
1376090811 | Evan James White | Counselor | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2016-09-01 |
1033665989 | Kristi Sue Grubb | Registered Nurse | 550 S. Peoria Avenue, Tulsa, OK 74120 | 2016-08-31 |
1417403759 | Kasi Melissa Ketcher | Nurse Practitioner | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2016-08-28 |
1316329113 | Stephanie Marie Campbell | Nurse Practitioner | 550 S. Peoria Avenue, Tulsa, OK 74120 | 2015-06-29 |
1326396847 | Gregory Jon Lengel | Counselor | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2012-08-15 |
1437421583 | Melanie Maree Powell | Pharmacist | 550 S. Peoria Avenue, Tulsa, OK 74120-3820 | 2012-02-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
Find all providers in zip 74120 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265525166 | Toni Gatanis | Nurse Practitioner | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2006-10-02 |
1598786469 | Stephanie Ann Plummer | Nurse Practitioner | 10159 E 11th St Ste 100, Tulsa Va - Behavioral Medicine, Tulsa, OK 74128-3046 | 2006-07-23 |
1326684903 | Dachaunda Twynette Pete | Nurse Practitioner | 1055 S Houston Ave W, Tulsa, OK 74127-9014 | 2019-11-19 |
1114482940 | Jennifer Aycock | Nurse Practitioner | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2019-02-06 |
1407321672 | Anthony Jacob Yount | Nurse Practitioner | 10159 E 11th St, Tulsa, OK 74128-3058 | 2018-10-03 |
1285096909 | Michael Scammahorn | Nurse Practitioner | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2016-03-22 |
1558759159 | Stana Powell | Nurse Practitioner | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2015-01-05 |
1245646389 | Lisa Danielle Gale | Nurse Practitioner | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2014-07-09 |
1437563590 | James Eddie Laster | Nurse Practitioner | 6655 S Yale Ave, Tulsa, OK 74136-3326 | 2014-06-17 |
1730436668 | Emily Anne Moore | Nurse Practitioner | 7302 S Yale Ave, Tulsa, OK 74136-7027 | 2012-08-09 |
Find all providers in TULSA |
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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.