MRS. TABITHA C. MILLER (NPI# 1760788970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760788970 |
| Entity Type | Individual |
| Full Name | MRS. TABITHA C. MILLER |
| Credential | PAC |
| Practice Address |
1 Shircliff Way Jacksonville FL 32204-4748 |
| Mailing Address |
Po Box 863026 Orlando FL 32886-3026 |
| Practice Telephone | 9043087300 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2015-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9108064 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1096273 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073063384 | Tabitha Miller | Case Manager/Care Coordinator | 1740 Hudson Bridge Rd Ste 1208, Stockbridge, GA 30281-6331 | 2016-10-11 |
| 1912464884 | Tabitha Nicole Miller | Registered Nurse | 1832 Harper Rd, Beckley, WV 25801 | 2019-02-26 |
| 1184115701 | Tabitha Miller | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2018-05-21 |
| 1346323466 | Tabitha B Miller | Dietitian, Registered | 3156 Kensington Ave, Esperanza Health Center, Philadelphia, PA 19134-2400 | 2006-10-23 |
| 1831287473 | Tabitha G Miller | Social Worker | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2006-10-10 |
| Street Address |
1 SHIRCLIFF WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738367 | Emergency Medical Specialists of Jacksonville | Emergency Medicine | 1 Shircliff Way, Jacksonville, FL 32204-4778 | 2005-05-23 |
| 1033725858 | Kathleen Fry | Registered Nurse | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-09-17 |
| 1841808912 | Jade Leanne Nelson Donegal | Registered Nurse | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-07-15 |
| 1124642731 | Arielle Christina Griffin | Social Worker | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-05-31 |
| 1639709199 | Tom Wonneberger | Physician Assistant | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-01-23 |
| 1114557162 | Janet Marie Goodson | Registered Nurse | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-01-17 |
| 1487291472 | Megan Elaine Karbowski | Anesthesiologist Assistant | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2019-12-09 |
| 1124663182 | Douglas Earl Stilwell | Nurse Practitioner | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2019-11-14 |
| 1316588908 | Andrew Griffin | Anesthesiologist Assistant | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2019-10-04 |
| 1194366278 | Laura Ann Kereczman | Nurse Practitioner | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
| 1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
| 1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
| 1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
| 1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
| 1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
| 1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.