MR. BRENT JORDAN MILLER (NPI# 1871946160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871946160 |
| Entity Type | Individual |
| Full Name | MR. BRENT JORDAN MILLER |
| Credential | APRN, FNP-C |
| Practice Address |
9400 East 350 Highway Raytown MO 64133 |
| Mailing Address |
8312 Hedges Ave Raytown MO 64138-3440 |
| Practice Telephone | 8162515700 |
| Mailing Telephone | 8163169835 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-77307-021 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016019762 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134567944 | Brent Paul Miller | Surgery | 99 Canal Landing Blvd Ste 6, Rochester, NY 14626-5112 | 2013-06-13 |
| 1699843417 | Brent E Miller | Chiropractor | 410 E Ward St, Douglas, GA 31533 | 2006-12-01 |
| 1962414235 | Brent John Miller | Nurse Practitioner | 212 S Sullivan, Fremont, MI 49412 | 2006-08-13 |
| 1740702299 | Brent Sydney Miller | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214-1315 | 2017-07-15 |
| 1013178375 | Brent Curtis Miller | Internal Medicine | 800 Montclair Rd, Suite 101, Birmingham, AL 35213-1908 | 2008-06-19 |
| 1952597825 | Brent Lawrence Miller | Dentist | 6803 Mayfield Rd, Suite 300, Mayfield Heights, OH 44124-2271 | 2007-09-24 |
| 1154516995 | Brent Stuart Miller | Dentist | 2200 21st Ave S, Nashville, TN 37212-4942 | 2007-09-13 |
| 1639270259 | Brent Dal Miller | Audiologist | 2525 Broadway, Suite 105, Helena, MT 59601 | 2006-09-26 |
| 1902905763 | Brent Warburton Miller | Orthopaedic Surgery | 2310 N 400 E, Ste A, North Logan, UT 84341-1788 | 2006-09-21 |
| 1346252020 | Brent E Miller | Family Medicine | 12 N Thompson St, Richmond, VA 23221-2718 | 2006-08-12 |
| Street Address |
9400 EAST 350 HIGHWAY |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| 1265742845 | Gaela Anne Fisher | Licensed Practical Nurse | 13201 E. 53rd Street, Kansas City, MO 64133 | 2010-10-15 |
| Find all providers in zip 64133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720181746 | Susan Eitel | Nurse Practitioner | 9300 E. Gregory Blvd., Raytown, MO 64133 | 2006-09-06 |
| 1609809490 | Nancy Ann Crigger | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2006-07-08 |
| 1487645735 | Linda M Murray | Nurse Practitioner | 6325 Blue Ridge Blvd, #c, Raytown, MO 64133-4886 | 2005-11-03 |
| 1275185407 | Eunice Minoo Mutisya | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2019-07-09 |
| 1730608258 | Lou A Hill | Nurse Practitioner | 6303 Evanston Ave, Raytown, MO 64133-4929 | 2017-09-15 |
| 1437673639 | Jamie Gudenkauf | Nurse Practitioner | 9400 E 350, Raytown, MO 64133-6509 | 2017-07-29 |
| 1770015596 | Amanda Brooke Michals | Nurse Practitioner | 9400 E 350, Raytown, MO 64133-6509 | 2017-03-30 |
| 1124575493 | Aimee Annette Turney | Nurse Practitioner | 6303 Evanston Ave, Raytown, MO 64133-4929 | 2016-09-05 |
| 1629468095 | Amy Beth Holler | Nurse Practitioner | 9406 E 63rd St, Raytown, MO 64133-4904 | 2015-01-23 |
| 1972930329 | Tracy L Yager | Nurse Practitioner | 9400 E 350, Raytown, MO 64133 | 2013-10-01 |
| Find all providers in RAYTOWN | ||||
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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.