SANDRA LYNN MILES (NPI# 1972659381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972659381 |
| Entity Type | Individual |
| Full Name | SANDRA LYNN MILES |
| Credential | CNA, CPT |
| Practice Address |
1362 N Gateway Ave Rockwood TN 37854-4108 |
| Practice Telephone | 8653541220 |
| Practice Fax Number | 8653540112 |
| Mailing Telephone | 8653541220 |
| Mailing Fax Number | 8653540112 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
TN | Technologists, Technicians & Other Technical Service Providers | |
| X | 376K00000X | Nurse's Aide | TN | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143214 | Sandra Denise Miles | Nurse's Aide | 4525 Baux Mountain Rd, Winston Salem, NC 27105-2457 | 2020-10-29 |
| 1992809230 | Sandra Lee Miles | Dentist | 1 North 16th Street, Wilmington, NC 28401 | 2006-09-08 |
| 1003141680 | Sandra R Miles | Nurse Anesthetist, Certified Registered | 501 Morris St, Charleston, WV 25301-1326 | 2009-10-15 |
| 1972768976 | Sandra Lee Miles | Physical Therapist | 4630 17th St, Sarasota, FL 34235-1843 | 2008-07-20 |
| Street Address |
1362 N GATEWAY AVE |
| City | ROCKWOOD |
| State | TN |
| Zip Code | 37854-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747040 | Mark Anthony Johnson | Dentist | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2005-11-18 |
| 1215572706 | Allison Mckenzie Williams | Nurse Practitioner | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2019-11-08 |
| 1932767290 | Kristen Anne Halstead | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2019-06-03 |
| 1811487796 | Jenny Glenn | Dietitian, Registered | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2018-05-16 |
| 1184139396 | Amanda Maddox | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2017-12-11 |
| 1487922332 | Billie Jo Freels | Licensed Practical Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2011-12-07 |
| 1154557957 | Beverly Dawn Watkins | Nurse Practitioner | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2009-06-08 |
| 1598967994 | Desiree Michele Jones | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2007-06-05 |
| 1528195682 | Alma Jane Johnson | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2007-02-27 |
| 1255467825 | Violetta Jane Swykert | Registered Nurse | 1362 N Gateway Ave, Rockwood, TN 37854-4108 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245500917 | Assurance Professional Billing Services | Specialist | 236 Burke Mill Rd, Rockwood, TN 37854 | 2012-01-11 |
| 1639407489 | Robert Sloan Hicks Jr. | Pharmacist | 225 West Rockwood St., Live and Let Live Drug Store, Rockwood, TN 37854 | 2009-12-04 |
| 1255477741 | Janet Eldridge Isham | Licensed Practical Nurse | 1362 N. Gateway Ave, Rockwood, TN 37854 | 2007-01-30 |
| 1154439271 | James Larry Brewer | Dentist | 1124 N Gateway Ave, Rockwood, TN 37854 | 2006-08-28 |
| 1750808093 | Cynthia Dawn Clark | Nurse Practitioner | 1420 N Gateway Ave, Rockwood, TN 37854 | 2017-08-28 |
| 1568772754 | Summit Medical Group, Pllc | Internal Medicine | 1420 North Gateway Ave, Rockwood, TN 37854 | 2010-10-21 |
| 1841348547 | Darrell Eugene Cates Jr. | Dentist | 1546 Gateway Ave., Rockwood, TN 37854-0003 | 2007-01-08 |
| 1033264411 | Sherry G Hill | Pharmacist | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2007-01-24 |
| 1487003455 | Live and Let Live Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2016-06-09 |
| 1851434666 | Jessica Ruthanne Kilgore | Pharmacist | 225 W Rockwood St, Rockwood, TN 37854-2243 | 2007-02-14 |
| Find all providers in zip 37854 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467837955 | Khawanda Kim Boyd | Technician, Pathology | 3838 Atwell Dr, Nashville, TN 37207-3601 | 2015-07-24 |
| 1255737169 | Nita Watkins | Technician, Pathology | 315 Lema Pl, Memphis, TN 38105-3203 | 2014-11-05 |
| 1871859934 | Shondra Nicole Reese | Technician, Pathology | 15 Lake Forest Dr, Mount Juliet, TN 37122-1345 | 2012-04-03 |
| 1033406111 | Medipharm Inc. | Technician, Pathology | 295 S Bellevue Blvd, Suite # 3, Memphis, TN 38104-7517 | 2011-07-08 |
| 1881995777 | Gregory Chapman | Technician, Pathology | 8470 Rhiannon Dr, Memphis, TN 38125-3353 | 2010-11-08 |
| 1538776059 | Kyla Michelle Taylor | Technician, Pathology | 815 W 5th North St, Morristown, TN 37814-3810 | 2020-09-29 |
| 1740826882 | Linda F Johnson | Technician, Pathology | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2019-11-25 |
| 1952951022 | Dariya Nikolaevna Rybalka | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2019-09-19 |
| 1801457866 | Manal Abbas | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2019-06-21 |
| 1093285314 | Elsa Nelida Martinez | Technician, Pathology | 815 W 5th North St, Morristown, TN 37814-3810 | 2018-11-29 |
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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.