DESTINY L MILLER (NPI# 1841848322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841848322 |
Entity Type | Individual |
Full Name | DESTINY L MILLER |
Practice Address |
3429 Meridocia St Alton IL 62002 |
Mailing Address |
Va St Louis Spinal Cord Injury Unit 1 Jefferson Barracks Drive 128/jb St Louis MO 63125 |
Practice Telephone | 3146524100 |
Enumeration Date | 2019-08-28 |
Last Update Date | 2020-05-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356618698 | Destiny M Miller | Counselor | 504 Micah Dr, Drawer M, Olney, IL 62450-4720 | 2011-11-30 |
Street Address |
3429 MERIDOCIA ST |
City | ALTON |
State | IL |
Zip Code | 62002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437791407 | Duron L Scruggs | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
1104247741 | Alexandria Ruzicka | Physician Assistant | 4411 Alby Street, Alton, IL 62002 | 2013-12-29 |
Find all providers in zip 62002 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558911065 | Alice Vanessa Woods | Technician | 1112 Brandon Chapel Rd, Alton, VA 24520-3490 | 2019-09-17 |
1437791407 | Duron L Scruggs | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294874 | Paulette Lovelace | Technician | 521 Vicksburg Dr, Belleville, IL 62221-6670 | 2020-10-28 |
1891395893 | Cheryl Lynn Eubanks | Technician | 1710 Mccasland Ave, East Saint Louis, IL 62207-2245 | 2020-10-28 |
1043818446 | Sabrina Marie Williams | Technician | 211 S Lodge St, Shelbyville, IL 62565-1951 | 2020-10-16 |
1124626213 | Tonya Lee Burdell | Technician | 315 S Douglas St, Litchfield, IL 62056-1851 | 2020-10-12 |
1720685704 | Itzayana Rodriguez | Technician | 5037 Carol Ct, Rockford, IL 61108-4157 | 2020-10-02 |
1871108209 | Ashley Marie Dawkins | Technician | 528 Grant Dr, Quincy, IL 62301-7234 | 2020-09-11 |
1104437797 | Stephen T Medford | Technician | 1017 Hartman Ln, O Fallon, IL 62269-7207 | 2020-08-16 |
1528685088 | Maxine Washington | Technician | 2014 S. 17th Ave., Broadview, IL 60155-2906 | 2020-07-01 |
1316562788 | Salli Jacobsen | Technician | 6699 Torch Lite Tr, Loves Park, IL 61111 | 2020-06-11 |
1356962377 | Brenda Lou Isermann | Technician | 406 W South 2nd St, Shelbyville, IL 62565-2114 | 2020-04-30 |
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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.