Active NPI
Bonnie Lewis Miller, R.N. BSN
- Maternal Newborn Registered Nurse
- Detroit, MI
National Provider Identifier
1154659571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal Newborn Registered Nurse
- License
- 4704073195
- Practice address
- 16703 Ashton Ave
Detroit, MI 48219-4144 - Phone
- (313) 538-7222
- NPI assigned
- Nov 23, 2009
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 4704073195 | MI | |
| Health Educator | 174H00000X | 4704073195 | MI | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 4704073195 | MI | |
| Registered Nurse | 163W00000X | 4704073195 | MI | |
| Maternal Newborn Registered Nurse | 163WM0102X | 4704073195 | MI | Primary |
| Low-Risk Neonatal Registered Nurse | 163WN0003X | 4704073195 | MI | |
| Perinatal Registered Nurse | 163WP1700X | 4704073195 | MI | |
| Doula | 374J00000X | 4704073195 | MI |
Addresses
Primary practice location
16703 Ashton Ave
Detroit, MI 48219-4144
Mailing address
16703 Ashton Ave
Detroit, MI 48219-4144
Phone (313) 538-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704073195 | Other | MI | REGISTERED NURSE LICENSE NUMBER |
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704073195 | MI | MD | Low-Risk Neonatal Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1154659571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16703 ASHTON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194144",
"telephone_number": "313-538-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16703 ASHTON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482194144",
"telephone_number": "313-538-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BONNIE",
"middle_name": "LEWIS",
"name_prefix": "Ms.",
"credential": "R.N. BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-23",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "MI",
"license": "4704073195",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MI",
"license": "4704073195",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "MI",
"license": "4704073195",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704073195",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "MI",
"license": "4704073195",
"primary": true
},
{
"code": "163WN0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal, Low-Risk",
"state": "MI",
"license": "4704073195",
"primary": false
},
{
"code": "163WP1700X",
"taxonomy_group": "",
"desc": "Registered Nurse, Perinatal",
"state": "MI",
"license": "4704073195",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MI",
"license": "4704073195",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE NUMBER",
"identifier": "4704073195",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.