Susan Raelene Miller, R.N.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R50333 Issued in OK

Practice address

200 Wanda St
Marietta, OK 73448-1204

Phone

(580) 276-3323

NPI assigned

Feb 29, 2012

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1154695740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 MOCKINGBIRD LN",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013442",
            "telephone_number": "580-264-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WANDA ST",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734481204",
            "telephone_number": "580-276-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "RAELENE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "R50333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann L. McIver, O.D.
• Mental Health Services of Southern Oklahoma
• Mental Health Services of Southern Oklahoma
• Mercy Health - Love County EMS
• Mercy Health Love County Rural Health Clinic
• Morning Star a.T.U.
• John Thomas O'Connor Jr., D.O.
• Patricia Owens, FNP
• Doris Jean Petty, RN
• Melinda Sue Pitts, R.N.

• Mental Health Counselor in Marietta, OK
• Providers in Marietta, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.