Individual provider Active NPI

Elizabeth Miller, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Flower Mound, TX
National Provider Identifier
1295261915
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-45482 Issued in TX
Practice address
3041 Churchill Dr
Ste 300 - Ste 300
Flower Mound, TX 75022-2706
Phone
(972) 691-1240
Fax
(972) 691-2073
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 563580 TX
Lactation Consultant (Registered Nurse) 163WL0100X L-45482 TX Primary

Addresses

Primary practice location

3041 Churchill Dr
Ste 300 - Ste 300
Flower Mound, TX 75022-2706

Mailing address

3041 Churchill Dr
Ste 300 - Ste 300
Flower Mound, TX 75022-2706
Phone (972) 691-1240

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

LicenseStateTypeSpecialty
563580TXMDRegistered Nurse
L-45482TXMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1295261915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR",
            "address_2": "STE 300 - STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR",
            "address_2": "STE 300 - STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222706",
            "telephone_number": "972-691-1240",
            "fax_number": "972-691-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELIZABETH",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "563580",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-45482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.