Jordan Miller, RN

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

13-102227 Issued in KS

Practice address

18 Holly LN
Paola, KS 66071-1843

Phone

(620) 212-4956

NPI assigned

Feb 3, 2019

Last updated

Feb 3, 2019By the provider in NPPES

Sex

Female

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": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1083179113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HOLLY LN",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711843",
            "telephone_number": "620-212-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HOLLY LN",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711843",
            "telephone_number": "620-212-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JORDAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "KS",
            "license": "13-102227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami County Medical Center Inc. (Family Medicine Clinics of MCMC)
• Miami County Surgical Associates LLC
• Mid-America Orthopedics KC LLC
• Mid-America Urology, PA
• Miller Pharmacy
• Tammy Joan Mize, MS RD LD
• Sherry D Moon, D.C.
• Laurie Morgan
• Keeley Morrow, LPC
• Andrea M Needham, O.D.

• Continuing Education/Staff Development Registered Nurse in Paola, KS
• Providers in Paola, KS by specialty
• Continuing Education/Staff Development Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.