Susan Renea Miller, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P51750 Issued in IA

Practice address

1211 E Army Post Rd
Des Moines, IA 50315-5957

Phone

(515) 256-9540

Fax

(515) 265-9603

NPI assigned

Jan 26, 2024

Sex

Female

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

State licenses

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1336901172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E ARMY POST RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155957",
            "telephone_number": "515-256-9540",
            "fax_number": "515-265-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E ARMY POST RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155957",
            "telephone_number": "515-256-9540",
            "fax_number": "515-265-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "RENEA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IA",
            "license": "P51750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Glenn Miller, DPM
• Nancy K Miller, LISW
• Niki A Miller, RN
• Rachel Miller, MT-BC
• Scott D Miller, DO
• Tiffani Lynn Milless, M.D.
• Kelsey Millonig, DPM, MPH
• Hamzah Miltaha, M.D.
• Mindful Mental Health Counseling LLC
• Mine

• Licensed Practical Nurse in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Licensed Practical Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.