Jake Edwards Miller, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

289068 Issued in NC

Practice address

1400 VFW Pkwy
West Roxbury, MA 02132-4927

Phone

(617) 323-7700

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1033712617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 BEAR CREEK RD",
            "city": "LEICESTER",
            "state": "NC",
            "postal_code": "287486316",
            "telephone_number": "401-559-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "617-323-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAKE",
        "middle_name": "EDWARDS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "289068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Robert Meyer, DPT
• Zachary W Meyer, DPT
• Michael S Swartz DDS & William J O'Neill DMD, PC
• Adrienne Mill
• Charlotte Jane Miller, LICSW
• Meredith Wetherbee Miller, M.D., PH.D.
• Michael James Miller, M.D.
• Thomas Jon Miller, CRNA
• Andrew F Mills, M.D.
• Michael K Miovic, M.D.

• Registered Nurse in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.