Individual provider Active NPI

Nichole Therese Miller

  • Family Medicine Physician
  • Lafayette, LA
National Provider Identifier
1356607469
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.207219 Issued in LA
Practice address
2932 Ambassador Caffery Pkwy Ste B
Lafayette, LA 70506-6756
Phone
(337) 470-3080
Fax
(337) 470-3099
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.207219 LA Primary

Addresses

Primary practice location

2932 Ambassador Caffery Pkwy Ste B
Lafayette, LA 70506-6756

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-3080

Other practice location 1

1216 Camellia Blvd
Lafayette, LA 70508-6667
Phone (337) 769-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922000756 LA Practitioner - Family Practice 2466769583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lourdes Physician Group LLCGroup PAC ID 7214177757, 157 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
University Hospital and Clinics, Inc. CurrentSince Apr 30, 2025 Accepting new patients
Lourdes Physician Group LLC Family Medicine CurrentSince Oct 19, 2025 Accepting new patients
University Hospital & Clinics Inc CurrentSince Apr 30, 2025 Accepting new patients
University Hospital & Clinics, Inc. Current Accepting new patients
Lafayette Health Ventures Inc CurrentSince Aug 1, 2015 Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1016 Coolidge Blvd
#B
Lafayette, LA 70503
Phone (337) 571-1396

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2932 Ambassador Caffery Pkwy
Ste B
Lafayette, LA 70506
Phone (337) 470-3080

Interoperability endpoints

  • Direct secure messaging: nmiller5354982@direct.casso.us.com
  • Direct secure messaging: nmiller1443304@direct.ochsner.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1356607469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-470-3080",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 AMBASSADOR CAFFERY PKWY STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066756",
            "telephone_number": "337-470-3080",
            "fax_number": "337-470-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Camellia Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086667",
            "country_code": "US",
            "telephone_number": "337-769-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICHOLE",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.207219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.