Individual provider Active NPI

Debra Jane Miller, BS/RN-BC

  • Registered Nurse
  • Billerica, MA
National Provider Identifier
1154661882
Registry record updated Feb 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
181111 Issued in MA
Practice address
2 Bennett Cir
Billerica, MA 01821-5264
Phone
(978) 663-9474
NPI assigned
Feb 16, 2013
Last updated
Feb 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 181111 MA Primary

Addresses

Primary practice location

2 Bennett Cir
Billerica, MA 01821-5264

Mailing address

27 Jackson St
Apt.330
Lowell, MA 01852-2137
Phone (978) 677-7247

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 of Science

State licenses

LicenseStateTypeSpecialty
181111MAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360972800000",
    "number": "1154661882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 JACKSON ST",
            "address_2": "APT.330",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522137",
            "telephone_number": "978-677-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BENNETT CIR",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215264",
            "telephone_number": "978-663-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEBRA",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "BS/RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-16",
        "last_updated": "2013-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "181111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.