Nakkia Danielle Miller, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2014032194 Issued in MO

Practice address

1216 Deadra Dr
Lebanon, MO 65536-4669

Phone

(417) 532-7102

Fax

(417) 532-6606

NPI assigned

Jun 26, 2017

Last updated

Mar 17, 2018By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compass Health, Inc

  dba Compass Health Network

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  NPD (past)
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275053779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 DEADRA DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364669",
            "telephone_number": "417-532-7102",
            "fax_number": "417-532-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 DEADRA DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364669",
            "telephone_number": "417-532-7102",
            "fax_number": "417-532-6606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 N Business Route 5",
            "address_purpose": "LOCATION",
            "city": "Camdenton",
            "state": "MO",
            "postal_code": "650202643",
            "country_code": "US",
            "telephone_number": "573-317-9100 x8786",
            "fax_number": "573-317-9104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 W historic Rt 66",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "65583",
            "country_code": "US",
            "telephone_number": "573-774-3123 x8786",
            "fax_number": "573-774-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NAKKIA",
        "middle_name": "DANIELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2014032194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy St John's
• Michael Montgomery OD PC
• Ginger L Miller, RPH
• Gregory A Miller, MD
• Micheal J. Miller, D.C.
• Missouri Behavioral Health Counseling Associates
• Julie Mitchell, LPC
• Philip V. Mitchell, MD
• Michael R Montgomery, OD
• Charlotte A Moore, LPC

• Licensed Practical Nurse in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.