Active NPI
Christi Miller
- Preferred Provider Organization
- Oklahoma City, OK
National Provider Identifier
1205105160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 108316
- Practice address
- 3337 SW 48TH St
Oklahoma City, OK 73119-4328 - Phone
- (405) 889-3744
- NPI assigned
- Dec 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 108316 | OK | Primary |
Addresses
Primary practice location
3337 SW 48TH St
Oklahoma City, OK 73119-4328
Mailing address
612 SW 34TH St
Oklahoma City, OK 73109-2524
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108316 | OK | MD | Preferred Provider Organization |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NFT | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Point of Service
- Memphis, TN
- NPI 1730481136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1205105160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 SW 34TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731092524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3337 SW 48TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731194328",
"telephone_number": "405-889-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHRISTI",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "OK",
"license": "108316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.