Active NPI
Nicole J Miller
- Adult Companion
- Colorado Springs, CO
National Provider Identifier
1346699352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- NA.00745979
- Practice address
- 3100 Wood Ave
Lot #G17
Colorado Springs, CO 80907-5134 - Phone
- (719) 644-6456
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | NA.00745979 | CO | Primary |
Addresses
Primary practice location
3100 Wood Ave
Lot #G17
Colorado Springs, CO 80907-5134
Mailing address
3100 Wood Ave
Lot #G17
Colorado Springs, CO 80907-5134
Phone (719) 644-6456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA.00745979 | CO | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1346699352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WOOD AVE",
"address_2": "LOT #G17",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809075134",
"telephone_number": "719-644-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 WOOD AVE",
"address_2": "LOT #G17",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809075134",
"telephone_number": "719-644-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NICOLE",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "CO",
"license": "NA.00745979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.