Active NPI
Rebecca Hamilton Miller, PA-C
- Obstetrics & Gynecology Nurse Practitioner
- North Charleston, SC
National Provider Identifier
1336113232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 243
- Practice address
- 9213A University Blvd
Trident Executive Village
North Charleston, SC 29406 - Phone
- (843) 572-7123
- Fax
- (843) 572-7350
- NPI assigned
- Feb 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | A243 | SC | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 243 | SC | Primary |
Addresses
Primary practice location
9213A University Blvd
Trident Executive Village
North Charleston, SC 29406
Mailing address
9213A University Blvd
Trident Executive Village
North Charleston, SC 29406
Phone (843) 572-7123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243 | Other | SC | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A243 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1336113232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9213A UNIVERSITY BLVD",
"address_2": "TRIDENT EXECUTIVE VILLAGE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29406",
"telephone_number": "843-572-7123",
"fax_number": "843-572-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9213A UNIVERSITY BLVD",
"address_2": "TRIDENT EXECUTIVE VILLAGE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "29406",
"telephone_number": "843-572-7123",
"fax_number": "843-572-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "REBECCA",
"middle_name": "HAMILTON",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "A243",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "SC",
"license": "243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "243",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.