PHYLLIS MILLER (NPI# 1679732630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679732630 |
| Entity Type | Individual |
| Full Name | PHYLLIS MILLER |
| Practice Address |
4300 Sw 13th St Gainesville FL 32608-4006 |
| Mailing Address |
Po Box 357161 Gainesville FL 32635-7161 |
| Practice Telephone | 3523745600 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1629459557 | Phyllis Miller | Social Worker | 66 Capitol Hill Dr, Saint Louis, MO 63136-4402 | 2015-06-16 |
| 1881963247 | Phyllis Miller | Speech-Language Pathologist | 7 Wildwood Rd, #20, Katonah, NY 10536-1740 | 2011-12-14 |
| 1285902908 | Phyllis Miller | Counselor | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2011-12-08 |
| 1053692848 | Phyllis Wardrett Miller | Social Worker | 204 Church St, Decatur, GA 30030-3328 | 2011-09-07 |
| 1700109857 | Phyllis M Miller | Occupational Therapy Assistant | 402 W 1st St, Adrian, MO 64720-9277 | 2010-03-03 |
| 1356520878 | Phyllis A Miller | Pharmacist | 204 N Main St, Leon, IA 50144-1450 | 2007-10-31 |
| 1528058906 | Phyllis E Miller | Obstetrics & Gynecology | 1751 Gunbarrel Rd, Chattanooga, TN 37421-7177 | 2005-10-26 |
| Street Address |
4300 SW 13TH ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660441 | Jody Lane Brown | Psychiatry & Neurology | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2005-09-27 |
| 1871194407 | Pauline Metcalf | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-11-02 |
| 1972104503 | Lakecia D Bailey | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-11-02 |
| 1417558040 | Tiffany A Gommel | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-11-02 |
| 1982203469 | Ciearra Washanda Smith | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-26 |
| 1619576196 | Michelin R Shatteen | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-26 |
| 1720687122 | Janee A Gilliam | Licensed Practical Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-19 |
| 1104424217 | Lanette Jackson | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-12 |
| 1326646522 | Shoshanah A Bush | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-12 |
| 1972100816 | Shanda N Whittle | Registered Nurse | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2020-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922508704 | Elizabeth Bridgewater | Case Manager/Care Coordinator | 906 Interstate Ridge Dr Ste C, Gainesville, GA 30501-7074 | 2018-02-18 |
| 1588107288 | Leslie Stone | Case Manager/Care Coordinator | 2913 Nw 6th St, Gainesville, FL 32609-2978 | 2016-11-29 |
| 1205379906 | Janae Basford | Case Manager/Care Coordinator | 8824 Nw 35th Pl, Gainesville, FL 32606-3804 | 2016-11-29 |
| 1598211302 | Deborah Osborne | Case Manager/Care Coordinator | 4300 Sw 13rh St, Gainesville, FL 32608-4006 | 2016-08-31 |
| 1346616588 | Angela Shaak Bauer | Case Manager/Care Coordinator | 4415 Nw 143rd St, Gainesville, FL 32606-3408 | 2015-08-11 |
| 1174906077 | Cindy Haynes | Case Manager/Care Coordinator | 949 Bradford St Nw, Gainesville, GA 30501-2949 | 2015-07-09 |
| 1174923551 | Chelsea Simpkins | Case Manager/Care Coordinator | 4415 Sw 34th St Apt 610, Gainesville, FL 32608-1476 | 2014-09-04 |
| 1255695425 | Harriet Lynn Bryant | Case Manager/Care Coordinator | 3525 Nw 22nd Ter, Gainesville, FL 32605-2344 | 2012-07-02 |
| 1972865202 | Ninoska Mercedes Bravo-machado | Case Manager/Care Coordinator | 5424 Carolean St, Gainesville, GA 30506-3193 | 2012-06-12 |
| 1598032856 | Anna L Jones | Case Manager/Care Coordinator | 8490 Anchor On Lanier Ct, Gainesville, GA 30506-6784 | 2011-11-30 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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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.