DR. KENNETH A MILES (NPI# 1962588616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962588616 |
| Entity Type | Individual |
| Full Name | DR. KENNETH A MILES |
| Credential | PH.D. |
| Practice Address |
Madigan Army Medical Center Attn: Kenneth A Miles, Ph.d 9040 Jackson Ave Tacoma WA 98431 |
| Practice Telephone | 2539682310 |
| Mailing Telephone | 2539682310 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2264 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063563724 | Kenneth Chester Miles | Dentist | 8631 Arbor Creek Dr, Suite D-1, Charlotte, NC 28269-0534 | 2007-01-16 |
| 1609172352 | Kenneth D Miles | Counselor | 6800 Park Ten Blvd, Suite 212 N, San Antonio, TX 78213-4211 | 2011-01-28 |
| 1033261136 | Kenneth Allan Miles | Optometrist | 3285 Claremont Way, Napa, CA 94558-3313 | 2007-01-17 |
| 1417990409 | Kenneth Miles | Emergency Medicine | 1425 10th Ave S, Minneapolis, MN 55404-1309 | 2006-06-14 |
| Street Address |
MADIGAN ARMY MEDICAL CENTER ATTN: KENNETH A MILES, PH.D 9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194173 | Isabelle Oh | Psychologist | 1220 Division Ave, Tacoma, WA 98403-1321 | 2019-10-03 |
| 1811225584 | Diana Marie Frey | Psychologist | 9040 Jackson Ave, Tacoma, WA 98431 | 2009-11-18 |
| 1134349616 | Rebekah A Cline | Psychologist | 1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954 | 2007-04-26 |
| 1265560106 | Allison Mckinzie Osborn | Psychologist | 1530 S Union Ave Ste 1, Tacoma, WA 98405-1954 | 2007-03-01 |
| 1649326554 | Barry Stuart Anton | Psychologist | 5909 Orchard St W, Tacoma, WA 98467-3824 | 2007-01-25 |
| 1710039631 | Bradley I. Steinfeld | Psychologist | 4301 S Pine St, Ste 301, Tacoma, WA 98409-7264 | 2007-01-18 |
| 1134169261 | Elizabeth Mae Anderson | Psychologist | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-4816 | 2006-06-07 |
| 1407824386 | Steven Charles Parkison | Psychologist | Madigan Army Medical Center, 9040 A. Fitzsimmons Dr., Tacoma, WA 98431-0001 | 2006-03-08 |
| 1386611606 | Monica M Van Hoomissen | Psychologist | 1530 S Union Ave, Suite 8, Tacoma, WA 98405-1954 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104477322 | Reclaim Counseling Associates LLC | Psychologist | 1610 Grover St Ste B10, Lynden, WA 98264-1539 | 2019-09-28 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1700396652 | Multicare Health System | Psychologist | 1706 S Meridian Ste 120, Puyallup, WA 98371-7516 | 2017-10-05 |
| 1427417880 | Lord Psychological Services, LLC | Psychologist | 826 102nd Ave Ne, #400, Bellevue, WA 98004-4162 | 2016-02-14 |
| 1689060964 | Anne Bernard Arnett | Psychologist | Chdd Uw, Seattle, WA 98195-0001 | 2015-04-13 |
| 1982033940 | Elizabeth J. Wasson | Psychologist | 4033 E Madison St Ste 203, Seattle, WA 98112-3104 | 2013-11-10 |
| 1851655971 | Sarah Peregrine Lord | Psychologist | 826 102nd Ave Ne Ste 400, Bellevue, WA 98004-4158 | 2012-07-03 |
| 1053695023 | Kristina C. Kwon | Psychologist | 365 118th Ave Se Ste 118, Bellevue, WA 98005-3557 | 2011-10-07 |
| 1992099618 | Chitra Iyer | Psychologist | 15027 Bel Red Rd, Bellevue, WA 98007-4211 | 2011-05-31 |
| 1669700662 | Sol Case Management | Psychologist | 117 S. 3rd Ave., Pasco, WA 99301 | 2009-12-02 |
| 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.