Active NPI
Joan J Miles, RN
- Registered Nurse
- Fishkill, NY
National Provider Identifier
1154512838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1936581
- Practice address
- 74 Highland CT
Fishkill, NY 12524 - Phone
- (845) 896-5301
- NPI assigned
- Aug 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1936581 | NY | Primary |
Addresses
Primary practice location
74 Highland CT
Fishkill, NY 12524
Mailing address
74 Highland CT
Fishkill, NY 12524
Phone (845) 896-5301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02534210 | Medicaid | NY |
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 |
|---|---|---|---|
| 1936581 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1154512838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 HIGHLAND CT",
"city": "FISHKILL",
"state": "NY",
"postal_code": "12524",
"telephone_number": "845-896-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 HIGHLAND CT",
"city": "FISHKILL",
"state": "NY",
"postal_code": "12524",
"telephone_number": "845-896-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JOAN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "1936581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02534210",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.