SHANNON RAQUEL MILES (NPI# 1881256378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881256378 |
| Entity Type | Individual |
| Full Name | SHANNON RAQUEL MILES |
| Credential | FNP |
| Practice Address |
12341 W Corrine Dr El Mirage AZ 85335-5224 |
| Mailing Address |
4545 N 36th St Ste 126 Phoenix AZ 85018-3456 |
| Practice Telephone | 6233290551 |
| Mailing Telephone | 6233290551 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 165853 | AZ | Nursing & Custodial Care Facilities |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
235897 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215112453 | Shannon Marie Miles | Marriage & Family Therapist | 325 E Shore Dr, Suite 120, Eagle, ID 83616-6583 | 2008-01-07 |
| 1477038180 | Shannon Amber Miles | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-09-27 |
| 1578854055 | Shannon R. Miles | Psychologist | 2002 Holcombe Blvd, Veterans Affairs Medical Center (152), Houston, TX 77030-4211 | 2011-05-02 |
| Street Address |
12341 W CORRINE DR |
| City | EL MIRAGE |
| State | AZ |
| Zip Code | 85335-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780082826 | Jessica Jones | Social Worker | 15100 N B Circle, El Mirage, AZ 85335 | 2014-12-05 |
| 1700280740 | Honey Queen Magbago | Physical Therapy Assistant | 12501 W Ash St, El Mirage, AZ 85335 | 2014-10-20 |
| 1396158994 | Richard Glisson | Pharmacist | 2840 North Dysart Road, Goodyear, AZ 85335 | 2014-06-11 |
| 1508106642 | Care 4 U Group Homes, LLC #2 | Assisted Living Facility | 12706 W Boca Raton, El Mirage, AZ 85335 | 2013-02-27 |
| 1780859066 | Kalmed LLC | Non-emergency Medical Transport (VAN) | 12501 W. Sunnyside Dr., Same As Above, El Mirage, AZ 85335 | 2008-04-28 |
| 1184763823 | Jennifer Colleen Whitaker | Occupational Therapist | 11800 West Thompson Ranch, El Mirage, AZ 85335 | 2007-02-06 |
| 1447275292 | Christine C Briones | Obstetrics & Gynecology | 15235 N Dysart Rd, El Mirage, AZ 85335 | 2006-07-13 |
| 1134181332 | Little Smiles of Surprise | Dentist | 13915 N Dysart Rd, Ste A1, El Mirage, AZ 85335 | 2006-04-04 |
| 1215918107 | Salibus United Drug Pharmacy | Pharmacy | 11713 W Thunderbird Rd, El Mirage, AZ 85335 | 2005-11-08 |
| 1154886547 | Sarah Buggle | Nurse Practitioner | 12428 W Thunderbird Rd, El Mirage, AZ 85335 | 2019-02-10 |
| Find all providers in zip 85335 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
| 1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.