Organization Active NPI

Lavertta Miller Aprn LLC

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1275385643
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LAVERTTA MILLER APRN LLC
Practice address
2430 Vanderbilt Beach Rd Ste 108-573
Naples, FL 34109-2654
Phone
(239) 427-5541
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Lavertta K Miller, NP
Title
Manager
Phone
(239) 427-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2430 Vanderbilt Beach Rd Ste 108-573
Naples, FL 34109-2654

Mailing address

821 Vistana Cir
Naples, FL 34119-1004
Phone (870) 805-9625

Other names 1

  • Sand Salt Sea Medical Services Doing business as

National Provider Directory

National Provider Directory

Locations

2430 Vanderbilt Beach Rd
Ste 108573
Naples, FL 34109
Phone (239) 427-5541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1275385643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 VISTANA CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191004",
            "telephone_number": "870-805-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 VANDERBILT BEACH RD STE 108-573",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092654",
            "telephone_number": "239-427-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVERTTA MILLER APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAVERTTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-427-5541",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sand Salt Sea Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.