Jan Marie Miller, RD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

LD 574 Issued in OK

Practice address

3401 W Gore Blvd
Lawton, OK 73505-6332

Phone

(580) 585-5554

Fax

(580) 355-5893

NPI assigned

May 2, 2007

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 OK

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of Oklahoma College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comanche County Hospital AuthorityGroup PAC ID 2668373689, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jan.miller@lawtoncommunityhealthcenter.eclinicaldirectplus.com

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.

• Comanche County Hospital Authority

  • Federally Qualified Health Center (FQHC)
  • Lawton, OK
  • NPI 1588832869
  Medicare reassignment Care Compare group NPD
• Comanche County Hospital Authority

  • Community/Retail Pharmacy
  • Lawton, OK
  • NPI 1427130947
  NPD
• Comanche County Healthcare

  • Surgery Physician
  • Lawton, OK
  • NPI 1285651232
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245452002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-585-5554",
            "fax_number": "580-355-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-585-5554",
            "fax_number": "580-355-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAN",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OK",
            "license": "LD 574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Miller
• Connor Miller
• Daniel Bryan Miller, PHARMD
• Debra Marie Miller, LPC
• George Everett Miller III, B.S.
• Keshia Chivon Miller
• Latoria M Miller
• Leigh-Anne Miller, DPH
• Maggie Miller
• Rebeka Rutledge Miller

• Metabolic Nutrition Registered Dietitian in Lawton, OK
• Providers in Lawton, OK by specialty
• Metabolic Nutrition Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.