Active NPI
Chris E Miller, ARNP
- Family Nurse Practitioner
- Paducah, KY
National Provider Identifier
1285611202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3004532
- Practice address
- 225 Medical Center Dr
Ste 307
Paducah, KY 42003-7914 - Phone
- (270) 441-4700
- Fax
- (270) 441-4707
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Paducah, KY
- NPI 1770643561
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004532 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Gastroenterology, PSC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3004532 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
225 Medical Center Dr
Ste 307
Paducah, KY 42003-7914
Mailing address
225 Medical Center Dr
Ste 307
Paducah, KY 42003-7914
Phone (270) 441-4700
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000587970 | Other | KY | BCBS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2015.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1285611202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR",
"address_2": "STE 307",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037914",
"telephone_number": "270-441-4700",
"fax_number": "270-441-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MEDICAL CENTER DR",
"address_2": "STE 307",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037914",
"telephone_number": "270-441-4700",
"fax_number": "270-441-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHRIS",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3004532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00000587970",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.