Individual provider Active NPI

Lezlie Miller, PA

  • Pulmonary Disease Physician
  • Carrollton, TX
National Provider Identifier
1275880163
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
PA01301 Issued in TX
Practice address
3032 E Hebron Pkwy Ste 101
Carrollton, TX 75010-4465
Phone
(972) 865-2880
NPI assigned
Aug 9, 2012
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA01301 TX
Pulmonary Disease Physician 207RP1001X PA01301 TX Primary

Addresses

Primary practice location

3032 E Hebron Pkwy Ste 101
Carrollton, TX 75010-4465

Mailing address

3032 E Hebron Pkwy Ste 101
Carrollton, TX 75010-4465
Phone (972) 865-2880

Other practice location 1

4333 N Josey Ln
Suite 302
Carrollton, TX 75010-4629
Phone (972) 394-8844

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lezlie.miller@pand.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20141022000193 TX Practitioner - Physician Assistant 6305067083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01301TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: lezlie.miller@pand.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBAGAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1275880163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 E HEBRON PKWY STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104465",
            "telephone_number": "972-865-2880",
            "fax_number": "970-306-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 E HEBRON PKWY STE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104465",
            "telephone_number": "972-865-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4333 N Josey Ln",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104629",
            "country_code": "US",
            "telephone_number": "972-394-8844",
            "fax_number": "972-492-0148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LEZLIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2020-09-16",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA01301",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "PA01301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lezlie.miller@pand.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "eClinical EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3032 E Hebron Pkwy Ste 101",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750104465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.