Ann Marie Miles, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 680 Issued in NV

Practice address

99 Toiaybe Rd - Kingston
HC 65 Box 102
Austin, NV 89310

Phone

(775) 964-1232

Fax

(775) 964-1238

NPI assigned

Nov 7, 2006

Last updated

May 26, 2015By 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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Battle Mountain General Hospital

  dba Kingston Health Center

  • Clinic/Center
  • Kingston, NV
  • NPI 1508255019
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1083783674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 65 BOX 102",
            "address_2": "99 TOIAYBE RD - KINGSTON",
            "city": "AUSTIN",
            "state": "NV",
            "postal_code": "89310",
            "telephone_number": "775-964-1232",
            "fax_number": "775-964-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TOIAYBE RD - KINGSTON",
            "address_2": "HC 65 BOX 102",
            "city": "AUSTIN",
            "state": "NV",
            "postal_code": "89310",
            "telephone_number": "775-964-1232",
            "fax_number": "775-964-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA 680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevada Health Centers, Inc. (Austin Medical Clinic)
• Nevada Health Centers, Inc. (Austin Medical Clinic)
• Chastie Marie Sprague

• Medical Physician Assistant in Austin, NV
• Providers in Austin, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.