Alisa Ann Miles, INTERN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

11740 E 21St St
Tulsa, OK 74129-1820

Phone

(918) 437-9495

Fax

(918) 560-1399

NPI assigned

Jan 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Pathways Unlimited Inc

  • Clinical Psychologist
  • Oklahoma City, OK
  • NPI 1659328284
  Medicare reassignment NPD
• Family & Children'S Services, Inc

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1699989202
  NPD (past)
• Family & Children'S Services, Inc

  • Case Management Agency
  • Tulsa, OK
  • NPI 1932311495
  NPD (past)

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1194063610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 S HIGHWAY 69",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744679310",
            "telephone_number": "918-708-3006",
            "fax_number": "918-999-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291820",
            "telephone_number": "918-437-9495",
            "fax_number": "918-560-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "ALISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194063610",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Olivia Mikulski, DO
• Stephen Andrew Mikus III, D.O.
• Misty May Milam, BS
• Matthew Wayne Milby, CRNA
• Brianna Nicole Milem
• Erica Miles
• Jeffrey Anthony Miles, D.D.S.
• Joseph Tye Miles, END TECH
• Justin K Miles, MPA
• Kierra Lashae Miles

• Student in an Organized Health Care Education/Training Program in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.