Active NPI
Mary Ellen Miller
- Homemaker
- Kingwood, WV
National Provider Identifier
1013738632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- PO Box 10
Kingwood, WV 26537-0010 - Phone
- (304) 329-0464
- Fax
- (304) 329-2584
- NPI assigned
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
PO Box 10
Kingwood, WV 26537-0010
Mailing address
PO Box 10
Kingwood, WV 26537-0010
Phone (304) 329-0464
Other practice location 1
106 senior drive
Kingwood, WV 26537
Phone (304) 329-0464
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1013738632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "KINGWOOD",
"state": "WV",
"postal_code": "265370010",
"telephone_number": "304-329-0464",
"fax_number": "304-329-2584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "KINGWOOD",
"state": "WV",
"postal_code": "265370010",
"telephone_number": "304-329-0464",
"fax_number": "304-329-2584"
}
],
"practiceLocations": [
{
"address_1": "106 senior drive",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "WV",
"postal_code": "26537",
"country_code": "US",
"telephone_number": "304-329-0464",
"fax_number": "304-329-2584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MARY",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.