Eliza M Miles, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

43292 Issued in SC

Practice address

652 N Matthews Rd
Lake City, SC 29560-7008

Phone

(843) 374-5119

NPI assigned

Oct 20, 2022

Last updated

Oct 20, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1215654256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295601569",
            "telephone_number": "843-374-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N MATTHEWS RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295607008",
            "telephone_number": "843-374-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "ELIZA",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "43292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical University Hospital Authority (MUSC Health Primary Care Lake City)
• Medicine Cabinet Clinical Services LLC (The Medicine Cabinet Clinical Services)
• Medicine Cabinet of Lake City (The Medicine Cabinet)
• Medtran Express
• Mid-Carolina Hospital Group, LLC (Lake City Community Hospital)
• Albert D Mims, M.D.
• Mindful Behavioral Inc
• Maud N Mmbo-Keith, OTR/L
• Sergio Montes, PHARMACIST
• David W Moon, M.D.

• Licensed Practical Nurse in Lake City, SC
• Providers in Lake City, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.