Jennifer M Miller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K9131 Issued in TX

Practice address

1005 W Ralph Hall Pkwy Ste 221
Rockwall, TX 75032-6662

Phone

(972) 772-5450

Fax

(972) 772-5452

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)
• Residential Visits Association

  • Geriatric Medicine (Family Medicine) Physician
  • Dallas, TX
  • NPI 1477529352
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1174572903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 221",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326662",
            "telephone_number": "972-772-5450",
            "fax_number": "972-772-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 221",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326662",
            "telephone_number": "972-772-5450",
            "fax_number": "972-772-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0428831-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080175603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mike Dee Allen DDS MSD Inc
• Emily Miller-Rauscher
• Cheyenne Brittany Miller, BCBA
• David Lawrence Miller, D.D.S.
• Frank Barton Miller, DDS MS
• Madison Avery Miller
• Mark Raymond Miller, M.D.
• Amy Mills
• Milton M Timoteo
• Mindful Health of Texas, PA

• Family Medicine Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.