MS. KELLI ANN MILLER (NPI# 1821318981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821318981 |
| Entity Type | Individual |
| Full Name | MS. KELLI ANN MILLER |
| Credential | NP |
| Practice Address |
2205 Jolly Rd Suite B Okemos MI 48864-3983 |
| Mailing Address |
Po Box 1239 Troy MI 48099-1239 |
| Practice Telephone | 5173474085 |
| Practice Fax Number | 5173474170 |
| Mailing Telephone | 2488246623 |
| Mailing Fax Number | 2483241477 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2012-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704197068 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952777666 | Kelli Miller | Nurse Practitioner | 3904 16th St, Moline, IL 61265-1275 | 2015-08-17 |
| 1376943589 | Kelli Miller | Speech-Language Pathologist | 2688 Hunters Point Dr, Wexford, PA 15090-7991 | 2014-08-26 |
| 1235423625 | Kelli L Miller | Licensed Practical Nurse | 230 Colgate Ave, Dayton, OH 45417-8947 | 2011-06-03 |
| 1265670970 | Kelli Miller | Registered Nurse | 3190 Caralee Dr, Columbus, OH 43219-3206 | 2009-02-03 |
| 1154450062 | Kelli Nicole Miller | Acupuncturist | 3314 Mesa Rd, Colorado Springs, CO 80904-1036 | 2007-03-05 |
| 1124521349 | Kelli Miller | Social Worker | 455 E Mound St, Columbus, OH 43215-5595 | 2018-03-14 |
| 1356876080 | Kelli Miller | Counselor | 847 Ne 19th Ave Ste 100, Portland, OR 97232 | 2017-05-01 |
| 1164968749 | Kelli Jo Miller | Nurse Practitioner | 5680 Nc Highway 42 W, Garner, NC 27529-8120 | 2017-01-06 |
| 1811340789 | Kelli Miller | Dietitian, Registered | 135 Rutledge Ave, Msc 561, Charleston, SC 29425-8903 | 2016-07-15 |
| 1407251333 | Kelli Miller | Counselor | 2117 S Glenburnie Rd, New Bern, NC 28562-2280 | 2014-11-04 |
| Street Address |
2205 JOLLY RD SUITE B |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245298603 | George D Horn | Family Medicine | 2205 Jolly Rd, Ste A, Okemos, MI 48864 | 2006-05-03 |
| 1730338393 | Matthew Michael Mcdonell | Nurse Practitioner | 2205 Jolly Rd, Suite B, Okemos, MI 48864-3983 | 2008-09-18 |
| 1952578056 | Prashanti Bachu Franklin | Family Medicine | 2205 Jolly Rd, B, Okemos, MI 48864-3983 | 2008-05-08 |
| 1023217437 | Cassandra Wormack | Family Medicine | 2205 Jolly Rd, Ste. B, Okemos, MI 48864-3983 | 2007-07-16 |
| 1093867046 | Pauline Chiu | Family Medicine | 2205 Jolly Rd, Suite B, Okemos, MI 48864-3983 | 2007-01-18 |
| 1972687978 | Amy H Oldejans | Nurse Practitioner | 2205 Jolly Rd, Ste B, Okemos, MI 48864-3983 | 2006-10-25 |
| 1972517845 | Vpa PC | Internal Medicine | 2205 Jolly Rd, Okemos, MI 48864-3983 | 2006-07-28 |
| 1457308330 | Joseph Armovit | Family Medicine | 2205 Jolly Rd, Suite B, Okemos, MI 48864-3983 | 2006-05-27 |
| 1578518817 | Ralph Michael Kelly | Internal Medicine | 2205 Jolly Rd, Ste B, Okemos, MI 48864-3983 | 2006-05-24 |
| 1518918465 | Family Nurse Care II, LLC | Home Health | 2205 Jolly Rd, Ste D, Okemos, MI 48864-3983 | 2006-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727108 | Avni Bergum | Nurse Practitioner | 2109 Hamilton Rd Ste 217, Okemos, MI 48864-1700 | 2019-12-17 |
| 1255803193 | Haley Dawn Dontje | Nurse Practitioner | 3413 Woods Edge, Okemos, MI 48864-5901 | 2018-12-17 |
| 1417499294 | Gregory Morey | Nurse Practitioner | 4129 Okemos Rd, Suite 7, Okemos, MI 48864-2822 | 2016-11-10 |
| 1396144937 | Agnar Health Solutions, Inc. | Nurse Practitioner | 2109 Hamilton Rd, Suite 215, Okemos, MI 48864-1772 | 2014-08-20 |
| 1730338393 | Matthew Michael Mcdonell | Nurse Practitioner | 2205 Jolly Rd, Suite B, Okemos, MI 48864-3983 | 2008-09-18 |
| 1093856940 | Elizabeth A Root | Nurse Practitioner | 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6038 | 2007-02-12 |
| 1699849752 | Katherine A England | Nurse Practitioner | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
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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.