Susan Kay Miller (NPI# 1134560691, PAC ID# 9032439559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134560691 |
| PAC ID by PECOS | 9032439559 |
| Professional Enrollment ID | I20181108001714 |
| Full Name | Susan Kay Miller |
| Organization Legal Name | LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC |
| Address |
925 Bevins Ct Lakeport CA 95453-9754 |
| Phone Number | 70726383821204 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729975545 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051329 | SUTTER LAKESIDE HOSPITAL |
| 051317 | ADVENTIST HEALTH CLEARLAKE |
| Address | Phone | Organization |
|---|---|---|
| 925 Bevins Ct, Lakeport, CA 95453-9754 | 70726383821204 | LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC |
| Organization Legal Name | LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andre P Lallande | Family Medicine | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Tianita D Alexander | Physician Assistant | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Sheldon K Sloan | Physician Assistant | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Gemalli Austin | Registered Dietitian Or Nutrition Professional | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Metasebia Bekele | Physician Assistant | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| David H Betat | Family Medicine | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Louise Loe | Nurse Practitioner | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Faranak F Izadi | Clinical Social Worker | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Diane E Bajada | Nurse Practitioner | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Street Address |
925 BEVINS CT |
| City | LAKEPORT |
| State | CA |
| Zip | 95453-9754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andre P Lallande | Family Medicine | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Tianita D Alexander | Physician Assistant | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Sheldon K Sloan | Physician Assistant | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Gemalli Austin | Registered Dietitian Or Nutrition Professional | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Metasebia Bekele | Physician Assistant | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| David H Betat | Family Medicine | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Louise Loe | Nurse Practitioner | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Faranak F Izadi | Clinical Social Worker | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Diane E Bajada | Nurse Practitioner | Lake County Tribal Health Consortium Inc | 925 Bevins Ct, Lakeport, CA 95453-9754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Alwyn Jameson | Chiropractic | 930 11th St, Lakeport, CA 95453-4104 | |
| Geoffrey L Rice | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Joanne M Lamonica | Urology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Randall E Woesner | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Alanna Lee Wargula | Podiatry | Parkview Podiatry | 175 Park St, Lakeport, CA 95453-4803 |
| Katherine Andre | Psychologist, Clinical | 75 4th St, Lakeport, CA 95453-4804 | |
| Allison Jill Aclufi | Clinical Psychologist | 380 N Main St J, Lakeport, CA 95453-4845 | |
| Erin Alice Dailey | Psychologist, Clinical | 149 N Main St, Suite 200, Lakeport, CA 95453-4846 | |
| Mark L Buehnerkemper | Optometry | 120 S Main St, Lakeport, CA 95453-5017 | |
| David L Browning | Optometry | 225 S Main St, Lakeport, CA 95453-5018 | |
| Find all physicians in zip 95453 | |||
| City | LAKEPORT |
| Zip Code | 95453 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKEPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan Kay Miller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.