Active NPI
Kimberly E Miller, RN
- Community Health Registered Nurse
- Brunswick, GA
National Provider Identifier
1154154763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN301070
- Practice address
- 2747 4TH St # 101
Brunswick, GA 31520-3714 - Phone
- (912) 264-3236
- Fax
- (912) 264-0813
- NPI assigned
- Aug 21, 2024
- Last updated
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN301070 | GA | Primary |
Addresses
Primary practice location
2747 4TH St # 101
Brunswick, GA 31520-3714
Mailing address
1076 Autumns Wood Cir E
Brunswick, GA 31525-5654
Phone (386) 871-7337
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 |
|---|---|---|---|
| RN301070 | GA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1154154763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 AUTUMNS WOOD CIR E",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315255654",
"telephone_number": "386-871-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2747 4TH ST # 101",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315203714",
"telephone_number": "912-264-3236",
"fax_number": "912-264-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KIMBERLY",
"middle_name": "E",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN301070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.