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).
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 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | 234343-30 | WI |
Other Identifier | Issuing State | Issuer | Identifier Type |
---|---|---|---|
42030700 | WI | MEDICAID |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Maranda Miller | 800 E 28th St, Minneapolis, MN 55407-3723 | Psychiatric/Mental Health Nurse Practitioner | 2022-10-06 |
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... |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Paula Marie Muldowney | 10 Embankment St, Lawrence, MA 01841-4731 | Addiction (Substance Use Disorder) Registered Nurse | 2024-12-17 |
Kelly Coppola | 540 Bordentown Ave, South Amboy, NJ 08879-1546 | Addiction (Substance Use Disorder) Registered Nurse | 2025-01-10 |
Nicole Larsen | 24760 Hospital Dr, Red Lake, MN 56671 | Addiction (Substance Use Disorder) Registered Nurse | 2024-12-16 |
Khalidah Plummer | 1091-1093 Broad Street, Newark, NJ 07114 | Addiction (Substance Use Disorder) Registered Nurse | 2025-01-30 |
Central Valley Mental Health Inc | 15728 Road 29 1/2, Madera, CA 93636-2005 | Addiction (Substance Use Disorder) Registered Nurse | 2025-01-13 |
Amy Bears | 25 Main St Ste 200, Westlake, OH 44145-6975 | Addiction (Substance Use Disorder) Registered Nurse | 2024-12-23 |
Chentell Sharee Miyasato | 700 Katlian St Ste F, Sitka, AK 99835-7359 | Addiction (Substance Use Disorder) Registered Nurse | 2024-12-30 |
Marcus Andre | 325 Sherman Ave Apt D16, Peekskill, NY 10566-5657 | Addiction (Substance Use Disorder) Registered Nurse | 2025-01-09 |
Boluwaji Iyiola | 7960 N Shadeland Ave, Indianapolis, IN 46250-2041 | Addiction (Substance Use Disorder) Registered Nurse | 2024-12-30 |
Kari Joe Yeakey | 4757 N 76th St, Milwaukee, WI 53218-4732 | Addiction (Substance Use Disorder) Registered Nurse | 2025-01-06 |
Find all providers with the same taxonomy |
Street Address |
2357 W MASON ST |
City | GREEN BAY |
State | WI |
Zip Code | 54303-4708 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Carlee Zander | 2357 W Mason St, Green Bay, WI 54303-4708 | Addiction (Substance Use Disorder) Counselor | 2024-03-05 |
Kaylee M Stodola | 2357 W Mason St, Green Bay, WI 54303-4708 | Addiction (Substance Use Disorder) Counselor | 2023-07-10 |
Delilah Jorstad | 2357 W Mason St, Green Bay, WI 54303-4708 | Addiction (Substance Use Disorder) Counselor | 2022-08-09 |
Kaitlyn Tyynismaa | 2357 W Mason St, Green Bay, WI 54303-4708 | Addiction (Substance Use Disorder) Counselor | 2022-09-26 |
Cassie B Bustos | 2357 W Mason St, Green Bay, WI 54303-4708 | Registered Nurse | 2024-08-06 |
Brittany M Kulow | 2357 W Mason St, Green Bay, WI 54303-4708 | Addiction (Substance Use Disorder) Counselor | 2023-05-15 |
Shane Bastar | 2357 W Mason St, Green Bay, WI 54303-4708 | Addiction (Substance Use Disorder) Counselor | 2023-05-31 |
Amber Moser | 2357 W Mason St, Green Bay, WI 54303-4708 | Addiction (Substance Use Disorder) Counselor | 2023-01-23 |
William Condon | 2357 W Mason St, Green Bay, WI 54303-4708 | Addiction (Substance Use Disorder) Registered Nurse | 2022-11-21 |
Roger P Smith | 2357 W Mason St, Green Bay, WI 54303-4708 | Addiction (Substance Use Disorder) Counselor | 2024-04-02 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
West Side Chiropractic Clinic Sc | 2311 W Mason St, Green Bay, WI 54303-4708 | Chiropractor | 2006-12-20 |
Kerry A Gay | Green Bay Ctc, 2357 W. Mason St, Green Bay, WI 54303-4708 | Licensed Practical Nurse | 2021-07-27 |
Jessica Perez-Martinez | Green Bay Ctc, 2357 W. Mason St., Green Bay, WI 54303-4708 | Registered Nurse | 2024-05-24 |
Holli J Marklein | Green Bay Ctc, 2857 W. Mason St, Green Bay, WI 54303-4708 | Registered Nurse | 2021-05-21 |
Austin Rockstroh | 2311 W Mason St, Green Bay, WI 54303-4708 | Chiropractor | 2018-05-29 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Integrated Treatment Centers, LLC · Green Bay Integrated Treatment Center | 2311 W Mason Street, Green Bay, WI 54303 | Substance Use Disorder Rehabilitation Clinic/Center | 2019-10-08 |
Affordable Dentures & Implants - Green Bay, S.C. | 1800-C W. Mason Street, Green Bay, WI 54303 | Dentist | 2019-08-01 |
Kaeley Rae Blaney | 2088 Memorial Drive #208, Green Bay, WI 54303 | Student in an Organized Health Care Education/Training Program | 2017-09-07 |
Tomahawk Counseling | 1345 W Mason Street, Suite L8, Green Bay, WI 54303 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2007-04-20 |
Michael James Rockstroh | 2311 West Mason Street, Green Bay, WI 54303 | Chiropractor | 2006-12-13 |
Treatment Providers LLC | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | Substance Use Disorder Rehabilitation Clinic/Center | 2017-03-26 |
Jean Marie Castaneda · Jean Marie Czyzewski | 2517 N. Court, Green Bay, WI 54303 | Case Manager/Care Coordinator | 2019-10-11 |
Germaine M Czarnecki | 1039 West Mason St, Green Bay, WI 54303 | Mental Health Counselor | 2006-11-14 |
Kids Dental Experts Partnership, LLC | 125 Siegler Street, Green Bay, WI 54303 | Pediatric Dentist | 2007-05-18 |
Kristen Leigh Kosman | 1328 Reed Street, Green Bay, WI 54303 | Occupational Therapist | 2009-08-11 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Maranda L Posey · Maranda Morrison | 1353 Angel Dr, Jacksonville, AL 36265-5746 | Family Nurse Practitioner | 2023-08-10 |
Maranda Loraine Hernandez · Maranda Mcdougall | 800 N Main St, Anna, IL 62906-1665 | Counselor | 2023-10-09 |
Maranda Hickman · Maranda Martin | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | Physical Therapy Assistant | 2019-11-21 |
Robin Maranda Hicks · Robin Maranda Williams | 6550 York Ave S Ste 417, Edina, MN 55435-2336 | Professional Counselor | 2022-08-16 |
Maranda Libster · Maranda Rinebold | 1515 Indianola Ave, Columbus, OH 43201-2118 | Social Worker | 2018-04-10 |
Maranda Ann Gomez · Maranda Ann Harral | 2155 Chicago Ave Ste 203, Riverside, CA 92507-2209 | Behavior Technician | 2022-08-08 |
Maranda Keel Miller | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | Case Manager/Care Coordinator | 2023-03-23 |
Maranda G Morrow · Maranda G Cavinder | 1515 S Osprey Ave Ste A1, Sarasota, FL 34239-2933 | Family Nurse Practitioner | 2017-10-19 |
Maranda Hatcher · Maranda Saltzman | 13322 I St, Omaha, NE 68137-1111 | Behavior Technician | 2022-04-15 |
Maranda E Nowlin · Maranda E Benson | 2600 Tuscarawas St W Ste 340, Canton, OH 44708-4694 | Professional Counselor | 2011-01-20 |
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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 |
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. |