KEISHA MILLER (NPI# 1902291263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902291263 |
| Entity Type | Individual |
| Full Name | KEISHA MILLER |
| Credential | FNP-BC |
| Practice Address |
8931 Colonial Center Dr Suite100 Fort Myers FL 33905-7809 |
| Mailing Address |
2160 Colonial Blvd Attn: Payer Contracting & Relations Fort Myers FL 33907-1410 |
| Practice Telephone | 2392262727 |
| Practice Fax Number | 2399399876 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9304863 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y0R7H | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467941690 | Keisha Jane Miller | Peer Specialist | 304 Commerce St, Commerce, OK 74339-2408 | 2018-05-03 |
| 1396192357 | Keisha Miller | Licensed Practical Nurse | 54 Francine Ave, Massapequa, NY 11758-3613 | 2016-05-19 |
| 1558670364 | Keisha Nicole Miller | Counselor | 2001 The Alameda, San Jose, CA 95126-1136 | 2010-09-28 |
| Street Address |
8931 COLONIAL CENTER DR SUITE100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-7809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843370 | James W. Orr Jr. | Obstetrics & Gynecology | 8931 Colonial Center Dr, Suite 400, Fort Myers, FL 33905-7816 | 2005-07-05 |
| 1457833196 | Jessica Isaacs | Genetic Counselor, MS | 8931 Colonial Center Dr, Fort Myers, FL 33905-7809 | 2018-08-29 |
| 1053703454 | 21st Century Oncology LLC | Urology | 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905-7809 | 2015-02-23 |
| 1396134961 | Christina Clark | Physician Assistant | 8931 Colonial Center Dr, Suite 301, Fort Myers, FL 33905-7809 | 2015-01-20 |
| 1912303389 | Gabriella Brock | Pharmacist | 8931 Colonial Center Dr, Suite 200, Fort Myers, FL 33905-7809 | 2014-11-13 |
| 1447650270 | Kristen Marlene Kirdahy | Pharmacist | 8931 Colonial Center Dr, Suite 200 - Pharmacy, Fort Myers, FL 33905-7809 | 2014-08-29 |
| 1144632217 | Sousan Yazdi Black | Nurse Practitioner | 8931 Colonial Center Dr, Suite 300, Fort Myers, FL 33905-7809 | 2014-05-23 |
| 1841614237 | Ma Antonietta Orlang | Registered Nurse | 8931 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7809 | 2014-02-06 |
| 1073864526 | Michael David Cook | Physician Assistant | 8931 Colonial Center Dr, Suite 100, Fort Myers, FL 33905-7809 | 2012-09-24 |
| 1518215862 | Jenna Dees Thibodeau | Physician Assistant | 8931 Colonial Center Dr, #300, Fort Myers, FL 33905-7816 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384154 | Melissa Connors | Nurse Practitioner | 15609 Fiddlesticks Blvd, Fort Myers, FL 33912-3902 | 2020-10-18 |
| 1982202412 | Amanda Shively | Nurse Practitioner | 7951 Reflection Cove Dr Apt 102, Fort Myers, FL 33907-6560 | 2020-10-16 |
| 1205433828 | Kenneth Midoneck | Nurse Practitioner | 4445 Kings Barn Ct Unit 305, Fort Myers, FL 33916-8031 | 2020-10-06 |
| 1881218246 | Miraleen Patel | Nurse Practitioner | 5710 Trailwinds Dr Apt 524, Fort Myers, FL 33907-8338 | 2020-06-02 |
| 1194350348 | Zuleima Lozada | Nurse Practitioner | 13691 Metro Pkwy Ste 110a, Fort Myers, FL 33912-4348 | 2020-03-09 |
| 1962034686 | Kathleen A Shelton | Nurse Practitioner | 9371 Cypress Lake Dr Ste 16, Fort Myers, FL 33919-4945 | 2020-02-11 |
| 1275173155 | Optimal Healing Healthcare Services, LLC | Nurse Practitioner | 10143 Chesapeake Bay Dr, Fort Myers, FL 33913-9184 | 2020-01-08 |
| 1033760731 | Jaclyn Mason | Nurse Practitioner | 18431 Hawthorne Rd, Fort Myers, FL 33967-3276 | 2019-09-24 |
| 1245894419 | Sonya Brielle Hayhurst | Nurse Practitioner | 16026 Via Solera Cir Apt 102, Fort Myers, FL 33908-7706 | 2019-04-23 |
| 1083175871 | Jackelin Smith | Nurse Practitioner | 10685 Essex Square Blvd, Fort Myers, FL 33913-2612 | 2019-03-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on KEISHA MILLER.
| 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.