Individual provider Active NPI

Patricia Elaine Miller

  • Social Worker
  • Sioux City, IA
National Provider Identifier
1043995897
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118575 Issued in IA
Practice address
3650 Glen Oaks Blvd
Sioux City, IA 51104-1546
Phone
(712) 222-1459
Fax
(712) 222-1460
NPI assigned
Jun 20, 2023
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 118575 IA Primary

Addresses

Primary practice location

3650 Glen Oaks Blvd
Sioux City, IA 51104-1546

Mailing address

3650 Glen Oaks Blvd
Sioux City, IA 51104-1546
Phone (712) 222-1459

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

State licenses

LicenseStateTypeSpecialty
118575IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turner Therapy & Counseling Social Worker CurrentSince Jan 10, 2024 Accepting new patients

Locations

3650 Glen Oaks Blvd
Sioux City, IA 51104
Phone (712) 222-1459

3650 Glen Oaks Blvd
#52
Sioux City, IA 51104
Phone (712) 222-1459

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1043995897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 GLEN OAKS BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041546",
            "telephone_number": "712-222-1459",
            "fax_number": "712-222-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 GLEN OAKS BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041546",
            "telephone_number": "712-222-1459",
            "fax_number": "712-222-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PATRICIA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "118575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.