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SHANTE MONIQUE MILLER CO 61037377
NPI 1639798192
Student in an Organized Health Care Education/Training Program in Everett, WA

Active since April 14, 2020
2601 SUMMIT AVE, EVERETT, WA 98201(425) 258-2407(425) 339-2601 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2021, Apr 14, 2020 (2 updates tracked since 2020).

About Shante Monique Miller Co 61037377 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTE MONIQUE MILLER CO 61037377 (NPI 1639798192) is an individual student in an organized health care education/training program in Everett, Washington, licensed in Washington (CO61037377) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1639798192
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANTE MONIQUE MILLERCredential: CO 61037377
Location Address2601 SUMMIT AVEEverett, WA 98201-3309
Mailing Address500 E Fremont St Apt B103Monroe, WA 98272-2364 · (504) 417-6938 · Fax (206) 223-1482
Phone(425) 258-2407
Fax(425) 339-2601
Sole ProprietorNo
Enumeration DateApril 14, 2020
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1639798192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · CO61037377
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO61037377 (WA)
2601 SUMMIT AVE, Everett, WA 98201
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVERGREEN RECOVERY CENTERS
Substance Abuse Rehabilitation Facility
2601 SUMMIT AVE
EVERETT, WA 98201
Snohomish County (425) 258-2407
LISA FRYETT
Counselor (Mental Health)
2601 SUMMIT AVE
EVERETT, WA 98201
Snohomish County (425) 876-5472
MATT HILL
Counselor (Addiction (Substance Use Disorder))
2601 SUMMIT AVE
EVERETT, WA 98201
Snohomish County (425) 258-2407
JILL MARIE OVERTON
Counselor (Addiction (Substance Use Disorder))
2601 SUMMIT AVE
EVERETT, WA 98201
Snohomish County (425) 322-0813
EVERGREEN RECOVERY CENTERS
Substance Abuse Rehabilitation Facility
2601 SUMMIT AVE
EVERETT, WA 98201
Snohomish County (425) 258-2407
MICHELLE MARYAM KHALILI ARNP
Nurse Practitioner (Psychiatric/Mental Health)
2601 SUMMIT AVE
EVERETT, WA 98201
Snohomish County (425) 258-2407
CYNTHIA AYANA MURAKAMI-FREEBERG
Social Worker (Clinical)
2601 SUMMIT AVE
EVERETT, WA 98201
Snohomish County (425) 322-0821
DR. JILLIAN KAY DARLENE DOUGLAS PMHNP, ARNP
Nurse Practitioner (Psychiatric/Mental Health)
2601 SUMMIT AVE
EVERETT, WA 98201
Snohomish County (425) 258-2407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shante Miller's NPI number?

The NPI number for Shante Miller is 1639798192. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Shante Miller located?

Shante Miller practices at 2601 Summit Ave, Everett, WA 98201. The listed phone number is (425) 258-2407.

What is Shante Miller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shante Miller was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.