MRS. MARY DEDICK MILLER (NPI# 1790834166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790834166 |
| Entity Type | Individual |
| Full Name | MRS. MARY DEDICK MILLER |
| Credential | ANP,GNP |
| Practice Address |
950 Winter St Suite 3800 Waltham MA 02451-1424 |
| Mailing Address |
106 Enterprise St Duxbury MA 02332-3307 |
| Practice Telephone | 7814728500 |
| Mailing Telephone | 7819347144 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
MA | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093322166 | Mary Miller | Student in an Organized Health Care Education/Training Program | 27 Hurd Rd, Brookline, MA 02445-6911 | 2020-09-23 |
| 1396377123 | Mary Angela Miller | Dietitian, Registered | 560 Jacob Close, Gahanna, OH 43230-2884 | 2020-02-10 |
| 1063050516 | Mary Ann Miller | Assisted Living Facility | 4519 W Amanda Dr, Wasilla, AK 99623-1046 | 2019-12-16 |
| 1215585070 | Mary Mccall Miller | Technician | 9436 Sacramento Dr, New Port Richey, FL 34655-1619 | 2019-08-26 |
| 1467932186 | Mary Miller | Licensed Vocational Nurse | 1035 Fm 971, Georgetown, TX 78626-4520 | 2018-08-21 |
| 1467943019 | Mary Laborde Miller | Dentist | 2425 33rd Ave W, Seattle, WA 98199-3255 | 2018-05-18 |
| 1225540578 | Mary Katherine Miller | Registered Nurse | 100 Ucla Medical Plz Ste 730, Los Angeles, CA 90024-6995 | 2017-10-26 |
| 1306384466 | Mary Miller | Speech-Language Pathologist | 1585 Wedgewood Dr, Piqua, OH 45356-8592 | 2017-02-08 |
| 1437529518 | Mary Ellen Miller | Dietitian, Registered | 6505 Robbie Creek Cv, Austin, TX 78750-8130 | 2015-10-01 |
| Street Address |
950 WINTER ST SUITE 3800 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194792481 | Xin Ning | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2006-03-05 |
| 1376911149 | Emily Seipp Pitts | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2015-09-09 |
| 1962870220 | Elizabeth S Duffy | Nurse Practitioner | 950 Winter St, 4th Floor, Waltham, MA 02451-1424 | 2015-09-03 |
| 1568847945 | Stacy Walker | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2015-07-27 |
| 1669862736 | Catherine Camacho | Nurse Practitioner | 950 Winter St, 3800, Waltham, MA 02451-1424 | 2015-01-28 |
| 1558767269 | Cynthia Gosselin | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2014-11-06 |
| 1861895294 | Rachel Smedile | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2014-09-30 |
| 1992120059 | Xiu Xia Zhang | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2014-02-26 |
| 1093141798 | Denise Christine Kelley | Nurse Practitioner | 950 Winter St, Suite 2200/3800, Waltham, MA 02451-1227 | 2013-09-25 |
| 1902189418 | Tara Liljestrand | Nurse Practitioner | 950 Winter St, Suite 2200/3800, Waltham, MA 02451 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821136771 | Millicent Rothman | Nurse Practitioner | 200 Trapelo Rd, Liberty Healthcare, Fernald Center, Waltham, MA 02452-6332 | 2007-02-02 |
| 1871647842 | Keri Anne Sexton | Nurse Practitioner | 950 Winter Street, Suite 3800, Ma030-1000, Waltham, MA 02451 | 2007-01-23 |
| 1295887230 | Karen L Nay | Nurse Practitioner | Evercare 950 Winter St, Suite 3800, Waltham, MA 02451 | 2007-01-18 |
| 1417237561 | Margaret Ann Bergmann | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2011-08-21 |
| 1932438041 | Christine Ann Carpenter | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2009-12-18 |
| 1326372483 | Marina Borocov | Nurse Practitioner | 950 Winter St, Waltham, MA 02451-1424 | 2009-09-22 |
| 1215175849 | Mary Kennelly Frey | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2009-02-04 |
| 1497899595 | Michelle Kirley | Nurse Practitioner | Evercare, 950 Winter Street, Suite 3800, Waltham, MA 02451 | 2007-02-20 |
| 1285774406 | Erika Farrell Taylor | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2007-02-07 |
| 1194878124 | Sonia Stewart | Nurse Practitioner | 950 Winter St, Suite 3800, Waltham, MA 02451-1424 | 2007-01-21 |
| Find all providers in WALTHAM | ||||
Please comment or provide details below to improve the information on MRS. MARY DEDICK 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.