DESTINY L MILLER


Address: 3429 Meridocia St, Alton, IL 62002
Phone: 3146524100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Other Providers DESTINY MILLER

NPI Name Taxonomy Address Enumeration
1356618698 Destiny M Miller Counselor 504 Micah Dr, Drawer M, Olney, IL 62450-4720 2011-11-30

Office Location

Street Address 3429 MERIDOCIA ST
City ALTON
State IL
Zip Code 62002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437791407 Duron L Scruggs Technician 3429 Meridocia St, Alton, IL 62002 2019-10-11

Providers in the same zip code

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 Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City ALTON
Zip Code 62002

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Dataset Information

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.

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