Active NPI
Betty Loretta Miller, CNS
- Gerontology Clinical Nurse Specialist
- Fort Collins, CO
National Provider Identifier
1104587211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- APN.0996992.CNS
- Practice address
- 1024 S Lemay Ave
Fort Collins, CO 80524-3929 - Phone
- (970) 495-8834
- NPI assigned
- Jan 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Clinical Nurse Specialist | 364SE0003X | APN.0996992.CNS | CO | |
| Gerontology Clinical Nurse Specialist | 364SG0600X | APN.0996992.CNS | CO | Primary |
Addresses
Primary practice location
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Mailing address
2235 Ulster St
Denver, CO 80238-3546
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0996992.CNS | CO | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641081600000",
"number": "1104587211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 ULSTER ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802383546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 S LEMAY AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243929",
"telephone_number": "970-495-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BETTY",
"middle_name": "LORETTA",
"credential": "CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-02",
"last_updated": "2022-01-02",
"certification_date": "2022-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "364SE0003X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Emergency",
"state": "CO",
"license": "APN.0996992.CNS",
"primary": false
},
{
"code": "364SG0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CO",
"license": "APN.0996992.CNS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.