Active NPI
Linda E. Miller, LLC
- Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
- Saint Louis, MO
National Provider Identifier
1396065181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN554563
- Legal business name
- LINDA E. MILLER, LLC
- Practice address
- 11425 Uphill TRL
Saint Louis, MO 63138-3401 - Phone
- (636) 230-0411
- Fax
- (636) 230-0421
- NPI assigned
- Jun 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Miller, RN, MSN, CS
- Title
- Provider
- Phone
- (314) 307-1011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0813X | RN554563 | MO | Primary |
Addresses
Primary practice location
11425 Uphill TRL
Saint Louis, MO 63138-3401
Mailing address
11425 Uphill TRL
Saint Louis, MO 63138-3401
Phone (636) 230-0411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157244 | Other | ANTHEM BLUE CROSS/BLUE SHIELD | |
| 4246753338 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
820 Country MNR LN
Delmar GDNS Creve Coeur
St Louis, MO 63141
Phone (314) 434-5900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Florissant, MO
- NPI 1598753337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275523200000",
"number": "1396065181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11425 UPHILL TRL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631383401",
"telephone_number": "636-230-0411",
"fax_number": "636-230-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11425 UPHILL TRL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631383401",
"telephone_number": "636-230-0411",
"fax_number": "636-230-0421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA E. MILLER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-03",
"last_updated": "2010-06-03",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "314-307-1011",
"authorized_official_credential": "RN, MSN, CS"
},
"taxonomies": [
{
"code": "364SP0813X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
"state": "MO",
"license": "RN554563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS/BLUE SHIELD",
"identifier": "157244",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4246753338",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.