Active NPI
Claude Henry Miller IV, RN
- Registered Nurse
- Plano, TX
National Provider Identifier
1093591158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95207924
- Practice address
- 4504 Pebble Brook LN
Plano, TX 75093-7215 - Phone
- (248) 444-6058
- NPI assigned
- Sep 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95207924 | CA | Primary |
Addresses
Primary practice location
4504 Pebble Brook LN
Plano, TX 75093-7215
Mailing address
2458 Newport Blvd # 167
Costa Mesa, CA 92627-1316
Phone (248) 444-6058
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95207924 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1093591158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2458 NEWPORT BLVD # 167",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271316",
"telephone_number": "248-444-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 PEBBLE BROOK LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750937215",
"telephone_number": "248-444-6058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CLAUDE",
"middle_name": "HENRY",
"name_suffix": "IV",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95207924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.