Individual provider Active NPI

Monique Shanay Miller, BSN, RN-BC

  • Administrator Registered Nurse
  • Houston, TX
National Provider Identifier
1205514304
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
826777 Issued in TX
Practice address
3880 Greenhouse Rd Ste 420
Houston, TX 77084-3487
Phone
(832) 891-1089
Fax
(713) 364-4034
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 826777 TX
Administrator Registered Nurse 163WA2000X 826777 TX Primary

Addresses

Primary practice location

3880 Greenhouse Rd Ste 420
Houston, TX 77084-3487

Mailing address

19411 Juniper Vale Cir
Houston, TX 77084-2271
Phone (832) 891-1089

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
826777TXMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anointed Hands by Grace LLC CurrentSince Jul 9, 2023 Accepting new patients

Locations

3880 Greenhouse Rd
Ste 420
Houston, TX 77084
Phone (832) 891-1089

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.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1205514304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19411 JUNIPER VALE CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842271",
            "telephone_number": "832-891-1089",
            "fax_number": "713-364-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 GREENHOUSE RD STE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843487",
            "telephone_number": "832-891-1089",
            "fax_number": "713-364-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MONIQUE",
        "middle_name": "SHANAY",
        "credential": "BSN, RN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "826777",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "826777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.