Active NPI
Teresa Beth Miller, PA-C
- Physician Assistant
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1699
- Practice address
- 4013 NW Expressway Ste 105
Oklahoma City, OK 73116-2618 - Phone
- (405) 378-2727
- NPI assigned
- Jun 25, 2010
- Last updated
- Jan 15, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1699 | OK | Primary |
Addresses
Primary practice location
4013 NW Expressway Ste 105
Oklahoma City, OK 73116-2618
Mailing address
4013 NW Expressway Ste 105
Oklahoma City, OK 73116-2618
Phone (405) 378-2727
Other practice location 1
1105 SW 30th Ct
Moore, OK 73160-2887
Phone (405) 378-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 SW 30TH CT
Moore, OK 73160-2887
Phone (405) 378-2727
1113 SW 30TH CT
Moore, OK 73160-2887
Phone (405) 378-2727
4013 NW Expressway
Suite 105
Oklahoma City, OK 73116-2618
Phone (405) 378-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1699 | OK | MD | Physical Therapist |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CACJCA/Endpoint/CACJCA
- lifestancehealth.teresamiller@148561.advancedmd-direct.com
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": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1316258247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 NW EXPRESSWAY STE 105",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731162618",
"telephone_number": "405-378-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 NW EXPRESSWAY STE 105",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731162618",
"telephone_number": "405-378-2727"
}
],
"practiceLocations": [
{
"address_1": "1105 SW 30th Ct",
"address_purpose": "LOCATION",
"city": "Moore",
"state": "OK",
"postal_code": "731602887",
"country_code": "US",
"telephone_number": "405-378-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "TERESA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.