Lonnie Eugene Miller, RN, CNOR, VA-BC

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

201040619RN Issued in OR

Practice address

1401 N 10TH Ave
Stayton, OR 97383-1399

Phone

(503) 769-9322

NPI assigned

Aug 12, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1326713199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43396 KINGSTON LYONS DR SE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973839733",
            "telephone_number": "503-507-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 10TH AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831399",
            "telephone_number": "503-769-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LONNIE",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "RN, CNOR, VA-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OR",
            "license": "201040619RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Messina, FNP-C
• Katie Elizabeth Metzger, PA-C
• Mill Creek Dental, Inc.
• Kalia Ann Miller
• Kevin L Miller
• Jennifer Rae Muller, FNP-C
• Gina M Mumey, MSW, RBSW, LCSW
• Michelle Amarin Rose Murphy, NP
• BC Nelson, DDS
• James Reed Netland, R.PH.

• Administrator Registered Nurse in Stayton, OR
• Providers in Stayton, OR by specialty
• Administrator Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.