Individual provider Active NPI

Teresa J Miller, APN, CNS

  • Clinical Nurse Specialist
  • Horseshoe Bay, TX
National Provider Identifier
1275601361
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
683001 Issued in TX
Practice address
825 The Trails Pkwy
Horseshoe Bay, TX 78657-7107
Phone
(512) 787-1736
Fax
(505) 393-6051
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 683001 TX Primary
Registered Nurse 163W00000X 683001 TX

Addresses

Primary practice location

825 The Trails Pkwy
Horseshoe Bay, TX 78657-7107

Mailing address

825 The Trails Pkwy
Horseshoe Bay, TX 78657-7107
Phone (512) 787-1736

Other identifiers 1

IdentifierTypeStateIssuer
156421303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000482 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 2264415645 Practice locations: Bertram, TX; Marble Falls, TX; Llano, TX; Kingsland, TX; Johnson City, TX; Horseshoe Bay, TX; Burnet, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
683001TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Casbr LLC Past Accepting new patients
R. L. Toms, Inc. Past Accepting new patients
Coe-Medical PLLC Past Accepting new patients
Elm Creek Senior Living LLC PastSince Jun 15, 2025 Accepting new patients
SNH SE Tenant TRS, Inc PastSince Jun 12, 2022 Accepting new patients
HS Bay Med LLC Past Accepting new patients
Milton W. Shepperd, DO, PA Past Accepting new patients
Frank S. Floca Past Accepting new patients
Preferred Podiatry Group PC Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1275601361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 THE TRAILS PKWY",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786577107",
            "telephone_number": "512-787-1736",
            "fax_number": "505-393-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 THE TRAILS PKWY",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786577107",
            "telephone_number": "512-787-1736",
            "fax_number": "505-393-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TERESA",
        "middle_name": "J",
        "credential": "APN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "683001",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "683001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156421303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseshoe Bay, TX

Sources for this page

Verify at the official NPI Registry.