Laurie Alice Miller, APRN, BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

13031 Issued in TN

Practice address

871 Ridgeway Loop Rd Ste 108
Memphis, TN 38120-4026

Phone

(901) 871-0170

NPI assigned

Nov 20, 2007

Last updated

Dec 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laurie.miller.1@32343.direct.athenahealth.com

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.

• Memphis Psychiatric and Addiction Clinic, PC

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  • Memphis, TN
  • NPI 1235187949
  Medicare reassignment NPD
• Vogelfanger and Struble Clinic

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1508895764

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Daniel Street Boyd, M.D.

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1891798989
  Medicare reassignment
• Bethesda Health Services, LLC

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1407244171
  NPD (past)
• Wellness Clinic, P.C.

  • Prescribing (Medical) Psychologist
  • Southaven, MS
  • NPI 1386860898
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1063693893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 RIDGEWAY LOOP RD STE 108",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204026",
            "telephone_number": "901-871-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 RIDGEWAY LOOP RD STE 108",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204026",
            "telephone_number": "901-871-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURIE",
        "middle_name": "ALICE",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "13031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341485",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4171432",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Jo Miller, DPT
• Kelsi Miller
• Kim C Miller, MD
• Kristin M. Miller, M.D.
• Ladawn Miller
• Leah Jeanelle Miller, PHARM. D.
• Logan Earl Miller, MD
• Mark Miller Jr., PHARMD
• Mark Miller, MS
• Melodie Cole Miller, LPC

• Psychiatric/Mental Health Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.