Keri Miller

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

9780 LBJ Fwy Ste 124
Dallas, TX 75243-6847

Phone

(469) 317-0028

NPI assigned

Mar 14, 2016

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thornwell H Parker III M D P aGroup PAC ID 4284733692, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Thornwell H Parker III M D P a

  • Plastic and Reconstructive Surgery Physician
  • Dallas, TX
  • NPI 1215138599
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1205297652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ARBORCREST DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802601",
            "telephone_number": "214-493-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 LBJ FWY STE 124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436847",
            "telephone_number": "469-317-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Dianne Miller, PTA
• Julia Meier Miller, D.C.
• Julie Michelle Miller, FNP-C
• Kamryn Kelley Miller, M.S. CCC-SLP
• Kendall Miller, LCSW
• Kim Lorene Miller, M.S., RN., CPNP
• Kristina Miller, D.D.S.
• Laura G Miller, RN,CRNA
• Leslie Bushong Miller, M.A., L.P.C.
• Linda Sue Miller, M.D.

• Medical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.