MRS. LAURA BETH MILLER (NPI# 1992276497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992276497 |
Entity Type | Individual |
Full Name | MRS. LAURA BETH MILLER |
Credential | APN |
Practice Address |
302 W Hay St Ste 110 Decatur IL 62526-4167 |
Mailing Address |
357 Mossy Trl Morton IL 61550-9532 |
Practice Telephone | 2178764200 |
Practice Fax Number | 2178764209 |
Mailing Telephone | 2176637329 |
Enumeration Date | 2018-12-09 |
Last Update Date | 2020-09-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209.018497 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209018497 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2300 N Edward St, Decatur, IL 625264192 | 2178764200 | 2178764209 |
530 Ne Glen Oak Ave, Peoria, IL 616370001 | 3096552000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487155057 | Laura Diane Miller | Licensed Vocational Nurse | 803 W 6th St, Cisco, TX 76437-2903 | 2018-02-28 |
1851766380 | Laura Marie Miller | Physical Therapy Assistant | 904 Harwood Rd, Harwood, MD 20776-9525 | 2015-12-09 |
1114394848 | Laura Miller | Social Worker | 650 Graham Rd Ste 191, Cuyahoga Falls, OH 44221 | 2015-08-28 |
1831584424 | Laura Miller | Developmental Therapist | 1169 Kilbery Ln, North Aurora, IL 60542-4602 | 2015-04-01 |
1275943151 | Laura Miller | Otolaryngology | 7502 State Rd Ste 4400, Cincinnati, OH 45255-2801 | 2014-05-01 |
1831518612 | Laura Claire Miller | Dentist | 10 El Camino, San Carlos, CA 94070-2451 | 2014-04-09 |
1225468499 | Laura Miller | Counselor | 3903 Stonebrook Dr, Norman, OK 73072-9192 | 2013-11-25 |
1215377908 | Laura Southern Miller | Nurse Practitioner | 90 E Main St Ste 2, Sylva, NC 28779-3030 | 2013-06-27 |
1366888554 | Laura Anne Miller | Registered Nurse | 48360 Pechanga Rd, Temecula, CA 92592-2986 | 2013-05-15 |
1447599147 | Laura K Miller | Physical Therapist | 4400 Evershead Pl, Louisville, KY 40241-5107 | 2013-01-31 |
Street Address |
302 W HAY ST STE 110 |
City | DECATUR |
State | IL |
Zip Code | 62526-4167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134759137 | Brittany N Eischeid | Nurse Practitioner | 1502 S Fm 51 Ste B, Decatur, TX 76234-2476 | 2020-01-19 |
1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
1235520321 | Catherine Kelsey Kinslow | Nurse Practitioner | 2406 Hwy 31, Decatur, AL 35603-1504 | 2015-02-10 |
1912093816 | Cara A Gravlin | Nurse Practitioner | 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 | 2006-10-05 |
1811595085 | Glenn Andrew Thomas | Nurse Practitioner | 2665 N Decatur Rd Ste 430, Decatur, GA 30033-6145 | 2020-10-11 |
1861019697 | Esther Miranda Hambrick | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2020-06-27 |
1740818814 | Valerie Lynn Rouse Beliard | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-01 |
1689238909 | Sara K Pollock | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2019-04-23 |
1255890703 | Rachel Elizabeth Branton | Nurse Practitioner | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-03-14 |
1730651233 | Katherine Wilson | Nurse Practitioner | 705 Bank St Ne, Decatur, AL 35601-1609 | 2018-12-20 |
Find all providers in DECATUR |
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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.