Active NPI
Aissia Miller, LPN
- Licensed Practical Nurse
- Newark, DE
National Provider Identifier
1225602014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L20013582
- Practice address
- 3304 Drummond PLZ
Newark, DE 19711-5710 - Phone
- (833) 886-2277
- NPI assigned
- May 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L20013582 | DE | Primary |
Addresses
Primary practice location
3304 Drummond PLZ
Newark, DE 19711-5710
Mailing address
3304 Drummond PLZ
Newark, DE 19711-5710
Phone (833) 886-2277
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | amiller@coraswellness.org |
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 |
|---|---|---|---|
| L20013582 | DE | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coras Wellness and Behavioral Health, LLC | Current | Accepting new patients |
Locations
3304 Drummond Plz
Newark, DE 19711
Phone (215) 292-0200
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1225602014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 DRUMMOND PLZ",
"city": "NEWARK",
"state": "DE",
"postal_code": "197115710",
"telephone_number": "833-886-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3304 DRUMMOND PLZ",
"city": "NEWARK",
"state": "DE",
"postal_code": "197115710",
"telephone_number": "833-886-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AISSIA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DE",
"license": "L20013582",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "amiller@coraswellness.org",
"affiliation": "N",
"address_1": "3304 Drummond Plz",
"city": "Newark",
"state": "DE",
"country_code": "US",
"postal_code": "197115710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.