Maranda Miller · Maranda Williams · Addiction (Substance Use Disorder) Registered Nurse

2357 W Mason St, Green Bay, WI 54303-4708

Overview

Maranda Miller is a Addiction (Substance Use Disorder) Registered Nurse practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1356839724, which was assigned on May 1, 2018, and the registration record was last updated on May 1, 2018. The practitioner's main practice location is at 2357 W Mason St, Green Bay, WI 54303-4708; the contact telephone number is 9203376740. The primary taxonomy of Maranda Miller is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), with specialization in Addiction (Substance Use Disorder). Maranda Miller is licensed to practice in the state of Wisconsin (#234343-30).

Provider Information

NPI 1356839724
Entity Type Individual
Provider Name MARANDA MILLER
Other Name MARANDA WILLIAMS
(Former Name)
Gender Female
Other Credential RN
Practice Address 2357 W Mason St
Green Bay
WI 54303-4708
Practice Telephone 9203376740
Mailing Address 2357 W Mason St
Green Bay
WI 54303-4708
Mailing Telephone 9203376740
Enumeration Date 2018-05-01
Last Update Date 2018-05-01
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y163WA0400XRegistered NurseAddiction (Substance Use Disorder)234343-30WI

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
42030700WIMEDICAID

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Maranda Miller 800 E 28th St, Minneapolis, MN 55407-3723Psychiatric/Mental Health Nurse Practitioner2022-10-06

Taxonomy Information

Primary Taxonomy

Code 163WA0400X
Taxonomy Addiction (Substance Use Disorder) Registered Nurse
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)
Grouping Nursing Service Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Paula Marie Muldowney 10 Embankment St, Lawrence, MA 01841-4731Addiction (Substance Use Disorder) Registered Nurse2024-12-17
Kelly Coppola 540 Bordentown Ave, South Amboy, NJ 08879-1546Addiction (Substance Use Disorder) Registered Nurse2025-01-10
Nicole Larsen 24760 Hospital Dr, Red Lake, MN 56671Addiction (Substance Use Disorder) Registered Nurse2024-12-16
Khalidah Plummer 1091-1093 Broad Street, Newark, NJ 07114Addiction (Substance Use Disorder) Registered Nurse2025-01-30
Central Valley Mental Health Inc 15728 Road 29 1/2, Madera, CA 93636-2005Addiction (Substance Use Disorder) Registered Nurse2025-01-13
Amy Bears 25 Main St Ste 200, Westlake, OH 44145-6975Addiction (Substance Use Disorder) Registered Nurse2024-12-23
Chentell Sharee Miyasato 700 Katlian St Ste F, Sitka, AK 99835-7359Addiction (Substance Use Disorder) Registered Nurse2024-12-30
Marcus Andre 325 Sherman Ave Apt D16, Peekskill, NY 10566-5657Addiction (Substance Use Disorder) Registered Nurse2025-01-09
Boluwaji Iyiola 7960 N Shadeland Ave, Indianapolis, IN 46250-2041Addiction (Substance Use Disorder) Registered Nurse2024-12-30
Kari Joe Yeakey 4757 N 76th St, Milwaukee, WI 53218-4732Addiction (Substance Use Disorder) Registered Nurse2025-01-06
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Location Information

Street Address 2357 W MASON ST
City GREEN BAY
State WI
Zip Code 54303-4708
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Carlee Zander 2357 W Mason St, Green Bay, WI 54303-4708Addiction (Substance Use Disorder) Counselor2024-03-05
Kaylee M Stodola 2357 W Mason St, Green Bay, WI 54303-4708Addiction (Substance Use Disorder) Counselor2023-07-10
Delilah Jorstad 2357 W Mason St, Green Bay, WI 54303-4708Addiction (Substance Use Disorder) Counselor2022-08-09
Kaitlyn Tyynismaa 2357 W Mason St, Green Bay, WI 54303-4708Addiction (Substance Use Disorder) Counselor2022-09-26
Cassie B Bustos 2357 W Mason St, Green Bay, WI 54303-4708Registered Nurse2024-08-06
Brittany M Kulow 2357 W Mason St, Green Bay, WI 54303-4708Addiction (Substance Use Disorder) Counselor2023-05-15
Shane Bastar 2357 W Mason St, Green Bay, WI 54303-4708Addiction (Substance Use Disorder) Counselor2023-05-31
Amber Moser 2357 W Mason St, Green Bay, WI 54303-4708Addiction (Substance Use Disorder) Counselor2023-01-23
William Condon 2357 W Mason St, Green Bay, WI 54303-4708Addiction (Substance Use Disorder) Registered Nurse2022-11-21
Roger P Smith 2357 W Mason St, Green Bay, WI 54303-4708Addiction (Substance Use Disorder) Counselor2024-04-02
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
West Side Chiropractic Clinic Sc 2311 W Mason St, Green Bay, WI 54303-4708Chiropractor2006-12-20
Kerry A Gay Green Bay Ctc, 2357 W. Mason St, Green Bay, WI 54303-4708Licensed Practical Nurse2021-07-27
Jessica Perez-Martinez Green Bay Ctc, 2357 W. Mason St., Green Bay, WI 54303-4708Registered Nurse2024-05-24
Holli J Marklein Green Bay Ctc, 2857 W. Mason St, Green Bay, WI 54303-4708Registered Nurse2021-05-21
Austin Rockstroh 2311 W Mason St, Green Bay, WI 54303-4708Chiropractor2018-05-29

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Integrated Treatment Centers, LLC · Green Bay Integrated Treatment Center 2311 W Mason Street, Green Bay, WI 54303Substance Use Disorder Rehabilitation Clinic/Center2019-10-08
Affordable Dentures & Implants - Green Bay, S.C. 1800-C W. Mason Street, Green Bay, WI 54303Dentist2019-08-01
Kaeley Rae Blaney 2088 Memorial Drive #208, Green Bay, WI 54303Student in an Organized Health Care Education/Training Program2017-09-07
Tomahawk Counseling 1345 W Mason Street, Suite L8, Green Bay, WI 54303Mental Health Clinic/Center (Including Community Mental Health Center)2007-04-20
Michael James Rockstroh 2311 West Mason Street, Green Bay, WI 54303Chiropractor2006-12-13
Treatment Providers LLC 2731 N Packerland Dr Ste A, Green Bay, WI 54303Substance Use Disorder Rehabilitation Clinic/Center2017-03-26
Jean Marie Castaneda · Jean Marie Czyzewski 2517 N. Court, Green Bay, WI 54303Case Manager/Care Coordinator2019-10-11
Germaine M Czarnecki 1039 West Mason St, Green Bay, WI 54303Mental Health Counselor2006-11-14
Kids Dental Experts Partnership, LLC 125 Siegler Street, Green Bay, WI 54303Pediatric Dentist2007-05-18
Kristen Leigh Kosman 1328 Reed Street, Green Bay, WI 54303Occupational Therapist2009-08-11
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.