Active NPI
Mary Clare Miller, RN
- Community Health Registered Nurse
- San Francisco, CA
National Provider Identifier
1285472779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 95387473
- Practice address
- 160 Capp St
San Francisco, CA 94110-1210 - Phone
- (415) 417-3500
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 95387473 | CA | Primary |
Addresses
Primary practice location
160 Capp St
San Francisco, CA 94110-1210
Mailing address
58 Greylock Rd
Bristol, RI 02809-1631
Phone (401) 919-0807
Other practice location 1
2950 International Blvd
Oakland, CA 94601-2228
Phone (401) 919-0807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95387473 | CA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1285472779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 GREYLOCK RD",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028091631",
"telephone_number": "401-919-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 CAPP ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101210",
"telephone_number": "415-417-3500"
}
],
"practiceLocations": [
{
"address_1": "2950 International Blvd",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946012228",
"country_code": "US",
"telephone_number": "401-919-0807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MARY",
"middle_name": "CLARE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "95387473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.