JAMES OLIN MILLER (NPI# 1629011846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629011846 |
Entity Type | Individual |
Full Name | JAMES OLIN MILLER |
Credential | FNP |
Practice Address |
11125 Dunn Rd Ste 406 Saint Louis MO 63136-6132 |
Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
Practice Telephone | 3146535484 |
Practice Fax Number | 3146535483 |
Mailing Telephone | 3146535484 |
Mailing Fax Number | 3146535483 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2015-06-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209004407 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
155854 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | RR MEDICARE | P01323887 | 01 |
IL | NPI | 1629011846 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939835 | James L Miller | Physical Therapist | 6235 River Crest Dr Ste L, Riverside, CA 92507-0758 | 2020-07-08 |
1730702390 | James Robert Miller | Counselor | 5331 Commercial Way Ste 203, Spring Hill, FL 34606-1426 | 2020-05-18 |
1467005314 | James H Miller | Pharmacist | 8308 Pomona Dr, Amarillo, TX 79110-4640 | 2019-07-19 |
1053970772 | James T Miller Jr. | Emergency Medical Technician, Basic | 3738 Maple St, Loris, SC 29569-2320 | 2019-06-06 |
1053809491 | James Miller | Military Health Care Provider | 716 Whisperwood Dr, Newport News, VA 23602-4954 | 2018-05-01 |
1407373822 | James Buton Miller | Home Health Aide | 3597 Baroma Dr, Columbus, OH 43228-3792 | 2017-08-25 |
1255874756 | James G Miller IIi | Specialist/Technologist | 16416 130th Way N, Jupiter, FL 33478-6501 | 2016-12-01 |
1295114023 | James Justin Miller | Community/Behavioral Health | 1200 Freddie Ct, Reno, NV 89503-1922 | 2015-05-26 |
1053702357 | James Edward Miller | Specialist | 2519 Shadow Oaks Dr, Fresno, TX 77545-6071 | 2015-02-09 |
1538589452 | James Miller IIi | Registered Nurse | 1630 E 27th Ave, Anchorage, AK 99508-4004 | 2014-04-17 |
Street Address |
11125 DUNN RD STE 406 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63136-6132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376097329 | Kelsie Anne Watson | Nurse Practitioner | 11125 Dunn Rd Ste 406, Saint Louis, MO 63136-6132 | 2016-08-08 |
1578613915 | Catherine Elizabeth Roane-blaker | Obstetrics & Gynecology | 11125 Dunn Rd Ste 406, Saint Louis, MO 63136 | 2007-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
Find all providers in zip 63136 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
1467059972 | Anissa Rasul | Nurse Practitioner | 10631 Thayer Dr, Saint Louis, MO 63123-6018 | 2020-10-07 |
1124635388 | Brittney Sherrell Burks | Nurse Practitioner | 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 | 2020-09-30 |
1629684865 | Nicole Burdge | Nurse Practitioner | 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 | 2020-09-22 |
1932724614 | Oluwatoyin Olufunke Adegboyega | Nurse Practitioner | 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 | 2020-06-09 |
1497376487 | Jessica A Spring | Nurse Practitioner | 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 | 2020-04-30 |
1932728466 | Lucy Wachuka Kamau | Nurse Practitioner | 4412 Clarence Ave, Saint Louis, MO 63115-3108 | 2020-04-14 |
1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63136 |
Please comment or provide details below to improve the information on JAMES OLIN MILLER.
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.