Active NPI
Clara May Miller, R.N.
- Diabetes Educator Registered Nurse
- River Forest, IL
National Provider Identifier
1013148295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 041118829
- Practice address
- 1025 Bonnie Brae PL
River Forest, IL 60305-1513 - Phone
- (708) 366-8119
- NPI assigned
- Aug 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 041118829 | IL | Primary |
Addresses
Primary practice location
1025 Bonnie Brae PL
River Forest, IL 60305-1513
Mailing address
1025 Bonnie Brae PL
River Forest, IL 60305-1513
Phone (708) 366-8119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XOF842981375 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041118829 | IL | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1013148295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 BONNIE BRAE PL",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051513",
"telephone_number": "708-366-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 BONNIE BRAE PL",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051513",
"telephone_number": "708-366-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CLARA",
"middle_name": "MAY",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-05",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "IL",
"license": "041118829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "XOF842981375",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in River Forest, IL
- Scott M Mercola, MD
- Merit Center for Sleep Health of Oak Park, LLC
- Michael J Heatwole Chiropractic Inc (River Forest Chiropractic)
- Paul David Michaels, D.C.
- Midwest Express Care 2, Inc
- William Millman, M.D.
- Gayla M Morales, OTR/L
- Jessica A Mortillaro, ATC
- Pamela M Mulshine, M.D.
- Jennifer Kirk Munaretto, DMD, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.